Individual
BRENDA HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3750 LANDMARK DR STE E, LAFAYETTE, IN 47905-0002
(765) 588-3201
Mailing address
5769 WATERSTONE WAY, WHITESTOWN, IN 46075-9001
(317) 354-7999
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12013585A
IN
Other
Enumeration date
08/04/2021
Last updated
07/08/2026
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