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Phillip R Pate, DDS
Pediatric Dentist in Kokomo, Indiana
NPI 1780756122

Phillip R Pate is a Pediatric Dentist based in Kokomo, IN and is specialized in Pediatric Dentistry. Phillip R Pate practices in Kokomo, IN and has the professional credentials of DDS. The NPI Number for Phillip R Pate is 1780756122 and holds a License No. 6519 (Indiana).

The current practice location address for Phillip R Pate is 2705 S Berkley, Kokomo, IN and can be reached out via phone at 765-453-2267 and via fax at 765-453-1150.

Location: 2705 S Berkley, Kokomo, IN, 46902-8007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780756122
Provider Name
Phillip R Pate
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2705 S Berkley, Kokomo, IN, 46902-8007
Phone Number
765-453-2267
Fax Number
765-453-1150
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6519 01 IN DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2705 S Berkley
City
Kokomo
State
Indiana
Zip
46902-8007
Phone Number
765-453-2267
Fax Number
765-453-1150
person
Provider Business Mailing Address Details
Address
2705 S Berkley
City
Kokomo
State
Indiana
Zip
46902-8007
Phone Number
765-453-2267
Fax Number
765-453-1150
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6519 (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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