Organization · Type 2 NPI

Oral Surgery Center of Kokomo LLC

Oral and Maxillofacial Surgery (Dentist) · Kokomo, IN

NPI number 1992124879 Active

Practice location

3415 S Lafountain St, Suite H
Kokomo, IN 46902-3802

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Pathology Dentistry 1223P0106X12012039A (IN)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12012039A (IN)
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X12012039A (IN)

Oral and Maxillofacial Surgery (Dentist): 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.

7 other providers at this address

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About NPI 1992124879

Oral Surgery Center of Kokomo LLC's National Provider Identifier is 1992124879, issued on Apr 8, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Kokomo, IN. The record was last updated on Apr 8, 2014.