KOKOMO IMPLANT AND ORAL SURGERY, LLC


Address: 2008 West Sycamore Street, Kokomo, IN 46901-4112
Phone: 7954520033

KOKOMO IMPLANT AND ORAL SURGERY, LLC (NPI# 1992159552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992159552
Entity Type Organization
Organization Name KOKOMO IMPLANT AND ORAL SURGERY, LLC
Practice Address 2008 West Sycamore Street
Kokomo
IN 46901-4112
Mailing Address 9860 Westpoint Drive
Suite 100
Indianapolis
IN 46256-3398
Practice Telephone 7954520033
Practice Fax Number 7654572175
Mailing Telephone 3178411100
Mailing Fax Number 3178412200
Enumeration Date 2016-04-20
Last Update Date 2016-04-20
Authorized Official Name MRS. WENDY S. BEARD (OFFICE MANAGER)
Authorized Official Telephone 3178411100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
12012362A IN Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
12007255A IN Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
12010961A IN Dental Providers

Office Location

Street Address 2008 WEST SYCAMORE STREET
City KOKOMO
State IN
Zip Code 46901-4112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607597 Momentum Kokomo, LLC Substance Abuse Rehabilitation Facility 1236 N. Wabash Ave, Kokomo, IN 46901 2020-10-23
1457826869 Jodi Gayle Lake Developmental Therapist 2523 Lorentson Ct, Kokomo, IN 46901 2018-10-11
1871088369 Hope Behavioral Servies, LLC Behavioral Analyst 924 Clark St, Kokomo, IN 46901 2018-06-27
1255782306 Forefront Dermatology, S.c. Dermatology 2130 W Sycamore St Ste 200, Kokomo, IN 46901 2016-06-29
1164860706 Renee Michelle Brown Registered Nurse 2776 Amberwood Place, Kokomo, IN 46901 2013-06-05
1063642916 Michelle K Rush Speech-Language Pathologist 2532 Lauren Ln, Kokomo, IN 46901 2009-07-24
1396957189 Lifetime Dental Care of In, PC Dentist 927 S Washington St, Kokomo, IN 46901 2007-05-04
1245458355 Wagoner Medical Center, LLC Internal Medicine 2016 W Sycamore, Kokomo, IN 46901 2007-04-23
1053442723 Jesusa Salhieh Contractor Genesis Rehab Bloom, Kokomo, IN 46901 2007-03-07
1740382928 Donald A Fantuzzo Dds PC Dentist 2196 W Sycamore St, Kokomo, IN 46901 2006-09-01
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346452448 Heartland Dental Care of Indiana, PC Dentist 2016 S Elizabeth St, Kokomo, IN 46902 2007-05-03
1134245459 Gerald Edward Kerr Dentist 2008 W Sycamore St, Kokomo, IN 46901-4112 2007-03-21
1922189273 Charlie Cox Jr. Dentist 1970 W Boulevard, Kokomo, IN 46902-6078 2006-10-17
1780833194 Hcoms, PC Dentist 1970 W Boulevard, Kokomo, IN 46902-6078 2008-09-10
1679786487 Ferdinand Wesley Peik Dentist 3421 S Lafountain St, Kokomo, IN 46902-3852 2007-05-08
1588723530 Ronald A. Thompson Jr. Dentist 2705 S Berkley Rd, Suite 4d, Kokomo, IN 46902-8025 2006-12-06
1164503140 Howard County Oral and Maxillofacial Surgeons Dentist 1970 W Boulevard, Kokomo, IN 46902-6078 2006-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063918746 Robinpreet Singh Pannu Dentist 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 2018-04-02
1912435843 Advanced Family Dentistry Dentist 9845 E 116th St Ste 400, Fishers, IN 46037-9236 2017-05-23
1093250151 Ruckman Oral Surgery and Implant Center LLC Dentist 9901 Auburn Rd, Fort Wayne, IN 46825-2345 2016-12-28
1659752335 Yusif Umar Dentist 550 University Blvd # Uh3145, Indianapolis, IN 46202-5149 2015-06-17
1154710267 Lawrence G. Falender Dds PC Dentist 1320 N Post Rd, Indianapolis, IN 46219-4210 2015-01-13
1568878270 Austin Starr Dentist 473 S Landmark Ave, Bloomington, IN 47403-5005 2014-07-02
1144668989 Timothy William Surber Dentist 5701 Brownstone Dr, Indianapolis, IN 46220-5851 2013-06-13
1396189387 Intp Dental PC Dentist 8555 River Rd Ste 180, Indianapolis, IN 46240-4311 2013-04-22
1932440054 John Joseph Schier Jr. Dentist 3021 E 98th St Ste 250, Indianapolis, IN 46280-2908 2013-03-14
1962766444 Denise A Flanagan Dds PC Dentist 8240 Naab Rd Ste 355, Indianapolis, IN 46260-1987 2012-06-28
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Competitor

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City KOKOMO
Zip Code 46901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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