Dental Professionals of Indiana, P.c.

NPI #1013139542 in Kokomo, Indiana

Provider Information

NPI Number: 1013139542
Entity Type: Organization
Organization Name: Dental Professionals of Indiana, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF INDIANA, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 3, 2007
Last Updated: Feb 5, 2014

Practice Location

Address: 2362 WEST BLVD
Address 2: SUITE A
City: Kokomo
State: Indiana
ZIP Code: 46902
Phone: (765) 452-0530

Authorized Official

Name: JENNIFER HOELSCHER
Title: INSURANCE/CREDENTIALING
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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