Kokomo Pediatric Dentistry, LLC
Kokomo Pediatric Dentistry, LLC provides Public Health Dentistry in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2018.
- Licensed in
- IN
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2350 S Dixon Rd Ste 425Kokomo, IN 46902-6422
Phone: (765) 453-6000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health Dentistry (primary) | Taxonomy 1223D0001X · Licence 12010865A (IN) |
|---|
Record details
| NPI number | 1063904100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Beadle — Owner/Dentist · (317) 709-2318 |
| NPI enumerated | June 5, 2018 |
| Last updated in NPPES | June 5, 2018 |
| Mailing address | 1314 Regal Dr, Carmel, IN 46032-9489 |