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

Oral Surgery Center of Kokomo LLC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1992124879

Oral Surgery Center of Kokomo LLC is an Oral and Maxillofacial Pathology Dentistry in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3415 S Lafountain St Ste H
Kokomo, IN 46902-3802
Phone: (765) 453-7710
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 12012039A (IN)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X · Licence 12012039A (IN)
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X · Licence 12012039A (IN)

Record details

NPI number1992124879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ladd — Owner · (765) 453-7710
NPI enumeratedApril 8, 2014
Last updated in NPPESApril 8, 2014
Mailing address3415 S Lafountain St, Suite H, Kokomo, IN 46902-3802