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

Pediatric Dental Specialists of Indiana PC

Organization Pediatric Dentistry · NPI 1669582813

Pediatric Dental Specialists of Indiana PC is a Pediatric Dentistry in Kokomo, Indiana. Registered with an NPI since 2006.

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

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Practice location Address checks out

2705 S Berkley Bldg 2 Ste B
Kokomo, IN 46902
Phone: (765) 453-2267
Fax: (765) 453-1150
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1669582813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Pate — Corporation President/Co -Owner · (765) 453-2267
Other names Phillip R Pate
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2705 S Berkley, Building 2 Suite B, Kokomo, IN 46902

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