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

Kokomo Oral and Maxillofacial Surgery PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1346309374

Kokomo Oral and Maxillofacial Surgery PC is an Oral and Maxillofacial Surgery Clinic/Center in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2705 S Berkley Rd Ste 4D
Kokomo, IN 46902-8025
Phone: (765) 453-5444
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 12008623A (IN)

Record details

NPI number1346309374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Thompson — President · (765) 453-5444
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2705 S Berkley Rd, Suite 4d, Kokomo, IN 46902-8025