Organization · Type 2 NPI

Dental Professionals of Indiana, P.c.

General Practice Dentistry · Kokomo, IN

NPI number 1013139542 Active

Practice location

2362 West Blvd, Suite A
Kokomo, IN 46902

Fax (765) 452-0573

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1013139542
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: Feb 5, 2014
Status: Active
Subpart: Yes of Dental Professionals of Indiana, P.c.

Other names

<unavail>
Dixon Park Dental Care · doing business as

Authorized official

Jennifer Hoelscher
Insurance/credentialing
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013139542

Dental Professionals of Indiana, P.c.'s National Provider Identifier is 1013139542, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kokomo, IN. The record was last updated on Feb 5, 2014.