Individual provider · Type 1 NPI

Symone Jacques

Dentist · Kokomo, IN

NPI number 1104774520 Active

Practice location

2918 S Reed Rd
Kokomo, IN 46902-3991

Mailing address

360 E Market St Apt 2206
Indianapolis, IN 46204-2962

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12014952A (IN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104774520

Symone Jacques's National Provider Identifier is 1104774520, issued on Mar 20, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kokomo, IN. The record was last updated on Mar 20, 2026.