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LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC NPI 1346738556


NPI Information

NPI: 1346738556
Provider Name: LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2302 S DIXON RD STE 125
KOKOMO, IN
ZIP 46902
Phone: (732) 379-0953
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LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC is a general practice dentist in Kokomo, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC NPI is 1346738556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2302 S DIXON RD STE 125
KOKOMO, IN
ZIP 46902-429
Phone: (732) 379-0953

The provider's authorized official is Srinivasulu Kakollu .
The authorized official title is President and has the following contact phone number (732) 379-0953.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 4/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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