| Ladd Dental Group Of Peru, P.c. | |
|
980 N Broadway Peru IN 46970-1070 | |
| (765) 473-0141 | |
| Not Available |
| Full Name | Ladd Dental Group Of Peru, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 980 N Broadway, Peru, Indiana |
| Authorized Official Name and Position | John Ralph Ladd (OWNER/CEO) |
| Authorized Official Contact | 7654550085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladd Dental Group Of Peru, P.c. 2333 W Lincoln Rd Kokomo IN 46902-8012 Ph: (765) 455-0085 | Ladd Dental Group Of Peru, P.c. 980 N Broadway Peru IN 46970-1070 Ph: (765) 473-0141 |
| NPI Number | 1093017907 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093017907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7486 (Indiana) | Primary |
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