| Innovative Orthodontics | |
|
1926 S Dixon Rd Kokomo IN 46902-7302 | |
| (765) 459-3145 | |
| (765) 459-4048 |
| Full Name | Innovative Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1926 S Dixon Rd, Kokomo, Indiana |
| Authorized Official Name and Position | Jason K Bunch (ORTHODONTIST/ CO-OWNER) |
| Authorized Official Contact | 7654593145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Orthodontics 1926 S Dixon Rd Kokomo IN 46902-7302 Ph: (765) 459-3145 | Innovative Orthodontics 1926 S Dixon Rd Kokomo IN 46902-7302 Ph: (765) 459-3145 |
| NPI Number | 1982925905 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982925905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010651A (Indiana) | Primary |
| 261QD0000X | Clinic/center - Dental | 8906IN (Indiana) | Secondary |
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