Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOKOMO PEDIATRIC DENTISTRY, LLC
Active OrganizationDental Public Health · KOKOMO, IN
Registration Details
- NPI Number
- 1063904100
- Provider Type
- Organization
- NPI Issued
- Jun 5, 2018 (7.878616603752 yrs)
- Last Updated
- Jun 5, 2018
- License
-
12010865A (IN)
Practice Information
- Address
-
2350 S DIXON RD STE 425KOKOMO, IN, 469026422Browse IN providers · Browse ZIP 46902
- Phone
- 7654536000
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.