Provider Demographics
NPI:1972605111
Name:ARAZI, YUVAL (DDS)
Entity Type:Individual
Prefix:MR
First Name:YUVAL
Middle Name:
Last Name:ARAZI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2169 GLEBE ST
Mailing Address - Street 2:SUITE NUMBER 200
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7294
Mailing Address - Country:US
Mailing Address - Phone:317-575-6101
Mailing Address - Fax:317-575-6155
Practice Address - Street 1:2169 GLEBE ST
Practice Address - Street 2:SUITE NUMBER 200
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7294
Practice Address - Country:US
Practice Address - Phone:317-575-6101
Practice Address - Fax:317-575-6155
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009945122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200304870Medicaid