| Kokomo Family Dental Llc | |
|
3416 S Dixon Rd Kokomo IN 46902-5642 | |
| (765) 455-1971 | |
| (765) 457-8359 |
| Full Name | Kokomo Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3416 S Dixon Rd, Kokomo, Indiana |
| Authorized Official Name and Position | Srinivas Durshanapalli (PRESIDENT) |
| Authorized Official Contact | 8882448899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kokomo Family Dental Llc 3416 S Dixon Rd Kokomo IN 46902-5642 Ph: (765) 455-1971 | Kokomo Family Dental Llc 3416 S Dixon Rd Kokomo IN 46902-5642 Ph: (765) 455-1971 |
| NPI Number | 1801766878 |
|---|---|
| Provider Enumeration Date | 11/06/2025 |
| Last Update Date | 11/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801766878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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