Provider Demographics
NPI:1457248015
Name:AFFORDABLE DENTURES & IMPLANTS - LAFAYETTE III, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - LAFAYETTE III, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:YASKO
Authorized Official - Middle Name:
Authorized Official - Last Name:DARKOUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-446-8474
Mailing Address - Street 1:4315 COMMERCE DR STE 210
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-3823
Mailing Address - Country:US
Mailing Address - Phone:765-446-8474
Mailing Address - Fax:
Practice Address - Street 1:4315 COMMERCE DR STE 210
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-3823
Practice Address - Country:US
Practice Address - Phone:765-446-8474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty