| The Kid's Smile Place | |
|
5129 Clinton Dr Kokomo IN 46902-7136 | |
| (765) 617-4750 | |
| Not Available |
| Full Name | The Kid's Smile Place |
|---|---|
| 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 |
|---|---|
| The Kid's Smile Place 110 Summers Dr Tipton IN 46072-8696 Ph: (765) 617-4750 | The Kid's Smile Place 5129 Clinton Dr Kokomo IN 46902-7136 Ph: (765) 617-4750 |
| NPI Number | 1619308566 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619308566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008126A (Indiana) | Primary |
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