Organization · Type 2 NPI

Kokomo Implant and Oral Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Kokomo, IN

NPI number 1992159552 Active

Practice location

2008 West Sycamore Street
Kokomo, IN 46901-4112

Fax (765) 457-2175

Mailing address

9860 Westpoint Drive, Suite 100
Indianapolis, IN 46256-3398

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12010961A (IN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X12012362A (IN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X12007255A (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.

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About NPI 1992159552

Kokomo Implant and Oral Surgery, LLC's National Provider Identifier is 1992159552, issued on Apr 20, 2016. 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 20, 2016.