National Provider Identifier Database

KOKOMO ORAL AND MAXILLOFACIAL SURGERY PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

KOKOMO ORAL AND MAXILLOFACIAL SURGERY P.C.
2705 S BERKLEY RD
SUITE 4D
KOKOMO, IN46902-8025
Phone: 765-453-5444
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for KOKOMO ORAL AND MAXILLOFACIAL SURGERY P.C.

NPI Number 1346309374
Legal business name
LBN
KOKOMO ORAL AND MAXILLOFACIAL SURGERY P.C.
Authorized official RONALD THOMPSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/06/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 12008623A

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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