Provider Type Icon

PERIO PLASTIC & IMPLANTOLOGY CENTER OF KOKOMO NPI 1982087078


NPI Information

NPI: 1982087078
Provider Name: PERIO PLASTIC & IMPLANTOLOGY CENTER OF KOKOMO
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
3415 S LAFOUNTAIN ST
SUITE H
KOKOMO, IN
ZIP 46902
Phone: (765) 455-0085
Get Directions

PERIO PLASTIC & IMPLANTOLOGY CENTER OF KOKOMO is a periodontics dentist in Kokomo, IN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIO PLASTIC & IMPLANTOLOGY CENTER OF KOKOMO NPI is 1982087078. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3415 S LAFOUNTAIN ST
SUITE H
KOKOMO, IN
ZIP 46902-802
Phone: (765) 455-0085

The provider's authorized official is John Ladd .
The authorized official title is Owner and has the following contact phone number (765) 455-0085.

The enumeration date for this NPI number is 7/7/2015 and was last updated on 7/7/2015.


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
11223D0004XDentistDentist Anesthesiologist12011521AINDIANANo
21223P0300XDentistPeriodontics12011521AINDIANAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.