Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kokomo Implant and Oral Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1992159552

Kokomo Implant and Oral Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2008 W Sycamore St
Kokomo, IN 46901-4112
Phone: (795) 452-0033
Fax: (765) 457-2175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12010961A (IN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12012362A (IN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12007255A (IN)

Record details

NPI number1992159552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Beard — Office Manager · (317) 841-1100
NPI enumeratedApril 20, 2016
Last updated in NPPESApril 20, 2016
Mailing address9860 Westpoint Drive, Suite 100, Indianapolis, IN 46256-3398

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