21st Century Oral Surgery | |
2016 S Elizabeth St Kokomo IN 46902 | |
(765) 452-0028 | |
(765) 452-0890 |
Full Name | 21st Century Oral Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2016 S Elizabeth St, Kokomo, Indiana |
Authorized Official Name and Position | Amy Kroeger (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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21st Century Oral Surgery 2016 S Elizabeth St Kokomo IN 46902 Ph: (765) 452-0028 | 21st Century Oral Surgery 2016 S Elizabeth St Kokomo IN 46902 Ph: (765) 452-0028 |
NPI Number | 1346452448 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346452448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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