# LUMINANT DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699652677
- **Authorized official:** AHMAD HASAN (OWNER)
- **Authorized official phone:** (708) 567-8610

## Contact information

- **Practice address:** 9013 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2502
- **Practice address phone:** (574) 208-5020
- **Mailing address:** 9013 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2502
- **Mailing address phone:** (574) 208-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2025
- **Last updated:** 08/20/2025