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LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC
NPI 1346738556
Dentist - General Practice in Kokomo, IN

Active since April 24, 2018
2302 S DIXON RD STE 125, KOKOMO, IN 46902(732) 379-0953 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakewood Family Dental Of Kokomo Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC (NPI 1346738556) is a healthcare organization registered as a general practice in Kokomo, Indiana and active in the NPI registry since April 2018. The organization lists Srinivasulu Kakollu, President, as its authorized official.

NPPES Registry Identity

NPI1346738556
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKEWOOD FAMILY DENTAL OF KOKOMO PLLC
Location Address2302 S DIXON RD STE 125Kokomo, IN 46902-6429
Mailing Address8777 Purdue Rd Ste 115Indianapolis, IN 46268-3104
Phone(732) 379-0953
Organization SubpartNo
Authorized OfficialSrinivasulu KakolluPresident · (732) 379-0953
Enumeration DateApril 24, 2018
✔ NPI 1346738556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2302 S DIXON RD STE 125, Kokomo, IN 46902
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROADWAY GENTLE DENTISTRY PC
Dentist (General Practice)
2302 S DIXON RD STE 125
KOKOMO, IN 46902
Howard County (765) 453-9389

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakewood Family Dental Of Kokomo PLLC's NPI number?

The NPI number for Lakewood Family Dental Of Kokomo PLLC is 1346738556. It was assigned to this organization in the NPPES registry on April 24, 2018.

Where is Lakewood Family Dental Of Kokomo PLLC located?

Lakewood Family Dental Of Kokomo PLLC is located at 2302 S Dixon Rd Ste 125, Kokomo, IN 46902. The listed phone number is (732) 379-0953.

What is Lakewood Family Dental Of Kokomo PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lakewood Family Dental Of Kokomo PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Lakewood Family Dental Of Kokomo PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakewood Family Dental Of Kokomo PLLC was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.