Kokomo Oral and Maxillofacial Surgery P.c.

NPI #1346309374 in Kokomo, Indiana

Provider Information

NPI Number
1346309374
Entity Type
Organization
Organization Name
Kokomo Oral and Maxillofacial Surgery P.c.
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Dec 6, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2705 S BERKLEY RD
Address 2
SUITE 4D
City
Kokomo
State
Indiana
ZIP Code
46902-8025
Phone
(765) 453-5444

Authorized Official

Name
DR. RONALD A. THOMPSON JR., D.D.S.
Title
PRESIDENT
Phone
(765) 453-5444

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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