Provider Demographics
NPI:1225914641
Name:AVDALYAN, HAYKUHI (DDS)
Entity type:Individual
Prefix:
First Name:HAYKUHI
Middle Name:
Last Name:AVDALYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HAYKUHI
Other - Middle Name:
Other - Last Name:SNKHTCHYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3294 CANYON OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48380-3959
Mailing Address - Country:US
Mailing Address - Phone:248-525-3310
Mailing Address - Fax:
Practice Address - Street 1:1080 E WEST MAPLE RD
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3571
Practice Address - Country:US
Practice Address - Phone:248-525-3310
Practice Address - Fax:248-525-3310
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016025561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice