| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 314 E Alto Rd, Kokomo, Indiana |
| Authorized Official Name and Position | Kevin Thomas Jarrell (PRESIDENT ORTHODONTIST) |
| Authorized Official Contact | 7654534261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
314 E Alto Rd Kokomo IN 46902 Ph: (765) 453-4261 | 314 E Alto Rd Kokomo IN 46902 Ph: (765) 453-4261 |
| NPI Number | 1174639413 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174639413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12009911A (Indiana) | Primary |
Kokomo Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 S Dixon Rd Ste 425, Kokomo, IN 46902 Phone: 765-453-6000 | |
Howard County Oral And Maxillofacial Surgeons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1970 W Boulevard, Kokomo, IN 46902 Phone: 765-868-2222 Fax: 765-868-8119 | |
Family And Cosmetic Dentistry Of Kokomo, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Clinton Dr, Kokomo, IN 46902 Phone: 765-453-4369 |