| Dentura Llc | |
|
412 W Walnut St Kokomo IN 46901-8407 | |
| (317) 979-3768 | |
| Not Available |
| Full Name | Dentura Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 412 W Walnut St, Kokomo, Indiana |
| Authorized Official Name and Position | Alec Douglas Willard (MEMBER) |
| Authorized Official Contact | 3179793768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentura Llc 13845 Nansemond Dr Carmel IN 46032-1217 Ph: () - | Dentura Llc 412 W Walnut St Kokomo IN 46901-8407 Ph: (317) 979-3768 |
| NPI Number | 1104770346 |
|---|---|
| Provider Enumeration Date | 02/24/2026 |
| Last Update Date | 02/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104770346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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