IndividualActive
Amine Fattal
NPI 1144893488 · Orthodontics and Dentofacial Orthopedics Dentistry · Elkhart, IN
Provider details
- NPI number
- 1144893488
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12014217A (IN)
Specialties & taxonomies
Dental Providers
Practice location
23618 US Highway 33
Elkhart, IN 46517-3608
Phone: (574) 875-8196
Approximate (ZIP-level) locationGet directions
Mailing address
23618 US Highway 33
Elkhart, IN 46517-3608
Registry dates
- Enumerated
- 2021-07-23
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.