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5129 Clinton Dr Kokomo IN 46902-7136 | |
(765) 617-4750 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 5129 Clinton Dr, Kokomo, Indiana |
Authorized Official Name and Position | April D Spivey (PRACTICE MANAGER) |
Authorized Official Contact | 7676174750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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110 Summers Dr Tipton IN 46072-8696 Ph: (765) 617-4750 | 5129 Clinton Dr Kokomo IN 46902-7136 Ph: (765) 617-4750 |
NPI Number | 1619308566 |
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Provider Enumeration Date | 12/03/2013 |
Last Update Date | 12/03/2013 |
Identifier | Type | State | Issuer |
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1619308566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 12008126A (Indiana) | Primary |
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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 |