Individual provider · Type 1 NPI

Justin Villanueva, DMD, MSD, DHL

Periodontics · Lafayette, IN

NPI number 1174076236 Active

Practice location

415 N 26th St Ste 303
Lafayette, IN 47904-2893

Other practice locations

  • 1121 W Michigan St, Indianapolis, IN 46202-5211 · (317) 274-7433
  • 1650 W Oak St Ste 206, Zionsville, IN 46077-3836 · (317) 349-0419

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X12013130A (IN)
General Practice Dentistry 1223G0001X019030729 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

4 other providers at this address

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About NPI 1174076236

Justin Villanueva, DMD, MSD, DHL's National Provider Identifier is 1174076236, issued on Jul 25, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lafayette, IN. The record was last updated on Aug 17, 2026.