National Provider Identifier Database

ORAL SURGERY CENTER OF KOKOMO LLC
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

ORAL SURGERY CENTER OF KOKOMO LLC
3415 S LAFOUNTAIN ST
SUITE H
KOKOMO, IN46902-3802
Phone: 765-453-7710
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 1223S0112X
Oral and Maxillofacial Pathology 1223P0106X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ORAL SURGERY CENTER OF KOKOMO LLC

NPI Number 1992124879
Legal business name
LBN
ORAL SURGERY CENTER OF KOKOMO LLC
Authorized official JOHN LADD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/08/2014
Last updated 04/08/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 12012039A

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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