Perio Plastic & Implantology Center of Kokomo

NPI #1982087078 in Kokomo, Indiana

Provider Information

NPI Number: 1982087078
Entity Type: Organization
Organization Name: Perio Plastic & Implantology Center of Kokomo
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jul 7, 2015
Last Updated: Jul 7, 2015

Practice Location

Address: 3415 S LAFOUNTAIN ST
Address 2: SUITE H
City: Kokomo
State: Indiana
ZIP Code: 46902-3802
Phone: (765) 455-0085

Authorized Official

Name: DR. JOHN LADD, DDS
Title: OWNER
Phone: (765) 455-0085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Anesthesiology — Dental Anesthesiology	1223D0004X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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