| Ladd Dental Group Inc | |
|
2333 W Lincoln Rd Kokomo IN 46902-8012 | |
| (765) 455-0085 | |
| (765) 455-6839 |
| Full Name | Ladd Dental Group Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2333 W Lincoln Rd, Kokomo, Indiana |
| Authorized Official Name and Position | Mary Ladd (CEO) |
| Authorized Official Contact | 7654550085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladd Dental Group Inc 2333 W Lincoln Rd Kokomo IN 46902-8012 Ph: (765) 455-0085 | Ladd Dental Group Inc 2333 W Lincoln Rd Kokomo IN 46902-8012 Ph: (765) 455-0085 |
| NPI Number | 1801810445 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801810445 | NPI | - | NPPES |
| 200222770A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Indiana) | Primary |
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