Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dental Specialists of Indiana PC

Organization Pediatric Dentistry · NPI 1669582813

Pediatric Dental Specialists of Indiana PC provides Pediatric Dentistry in Kokomo, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2705 S Berkley Bldg 2 Ste B
Kokomo, IN 46902
Phone: (765) 453-2267
Fax: (765) 453-1150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1669582813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Pate — Corporation President/Co -Owner · (765) 453-2267
Other names Phillip R Pate
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902

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