Perio Plastic & Implantology Center of Kokomo
Perio Plastic & Implantology Center of Kokomo is a Dental Anesthesiology in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2015.
- Licensed in
- IN
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
3415 S Lafountain St Ste HKokomo, IN 46902-3802
Phone: (765) 455-0085
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 12011521A (IN) |
|---|---|
| Dental Anesthesiology | Taxonomy 1223D0004X · Licence 12011521A (IN) |
Record details
| NPI number | 1982087078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Ladd — Owner · (765) 455-0085 |
| NPI enumerated | July 7, 2015 |
| Last updated in NPPES | July 7, 2015 |
| Mailing address | 2333 W Lincoln Rd, Kokomo, IN 46902-8012 |
Other providers in Kokomo
-
Shoreline Anesthesia, LLC
101 N Union St Unit 533, Kokomo, IN 46901-5045 · (718) 644-0622