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Perio Plastic & Implantology Center Of Kokomo
Periodontist in Kokomo, Indiana
NPI 1982087078

Perio Plastic & Implantology Center Of Kokomo is a Periodontist based in Kokomo, IN and is specialized in Periodontics. Perio Plastic & Implantology Center Of Kokomo practices in Kokomo, IN. The NPI Number for Perio Plastic & Implantology Center Of Kokomo is 1982087078 and holds a License No. 12011521A (Indiana).

The current practice location address for Perio Plastic & Implantology Center Of Kokomo is 3415 S Lafountain St, Kokomo, IN and can be reached out via phone at 765-455-0085.

Location: 3415 S Lafountain St, Kokomo, IN, 46902-8012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982087078
Provider Name
Perio Plastic & Implantology Center Of Kokomo
Credential
Provider Entity Type
Organization
Address
3415 S Lafountain St, Kokomo, IN, 46902-8012
Phone Number
765-455-0085
Fax Number
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3415 S Lafountain St
City
Kokomo
State
Indiana
Zip
46902-3802
Phone Number
765-455-0085
Fax Number
person
Provider Business Mailing Address Details
Address
3415 S Lafountain St
City
Kokomo
State
Indiana
Zip
46902-3802
Phone Number
765-455-0085
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
12011521A (Indiana)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
12011521A (Indiana)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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