MIDWEST FAMILY DENTAL CARE-KOKOMO PC NPI 1982288007

NPI Information

NPI: 1982288007
Provider Name: MIDWEST FAMILY DENTAL CARE-KOKOMO PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2714 ROCKFORD LN
KOKOMO, IN
ZIP 46902
Phone: (765) 453-9040
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MIDWEST FAMILY DENTAL CARE-KOKOMO PC is a dental clinic center in Kokomo, IN. MIDWEST FAMILY DENTAL CARE-KOKOMO PC NPI is 1982288007. The provider is registered as an organization entity type.

The provider's business location address is:

2714 ROCKFORD LN
KOKOMO, IN
ZIP 46902-204
Phone: (765) 453-9040
Fax: (616) 469-1036

The provider's authorized official is Jessica Martinez .
The authorized official title is Billing Manager and has the following contact phone number (269) 388-5832.

The enumeration date for this NPI number is 5/6/2021 and was last updated on 5/6/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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