Heartland Dental Care of Indiana, PC

NPI #1497954622 in Kokomo, Indiana

Provider Information

NPI Number: 1497954622
Entity Type: Organization
Organization Name: Heartland Dental Care of Indiana, PC
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL CARE OF INDIANA, PC
Primary Specialty: Dentist
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 315 W LINCOLN RD
Address 2: SUITE B
City: Kokomo
State: Indiana
ZIP Code: 46902-3850
Phone: (765) 453-7692

Authorized Official

Name: AMY KROEGER
Title: INS COOR
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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