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Contact Information

DENTAL PROFESSIONALS OF INDIANA, P.C.
2362 W BLVD
SUITE B
KOKOMO, IN46902
 Phone: 765-236-1570
 Fax: 765-236-1571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL PROFESSIONALS OF INDIANA PC · (Female)

NPI # 1114130432
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2007
Last updated 02/05/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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