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PEDIATRIC DENTAL SPECIALISTS OF INDIANA PC
NPI 1669582813
Dentist - Pediatric Dentistry in Kokomo, IN

Active since August 30, 2006
2705 S BERKLEY, BUILDING 2 SUITE B, KOKOMO, IN 46902(765) 453-2267(765) 453-1150 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Specialists Of Indiana Pc NPPES

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

PEDIATRIC DENTAL SPECIALISTS OF INDIANA PC (NPI 1669582813), doing business as Phillip R Pate, is a healthcare organization registered as a pediatric dentistry in Kokomo, Indiana and active in the NPI registry since August 2006. The organization lists Matthew D Pate, Corporation President/co -owner, as its authorized official.

NPPES Registry Identity

NPI1669582813
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALISTS OF INDIANA PC
Location Address2705 S BERKLEY, BUILDING 2 SUITE BKokomo, IN 46902
Mailing Address2705 S Berkley, Building 2 Suite BKokomo, IN 46902 · (765) 453-2267 · Fax (765) 453-1150
Phone(765) 453-2267
Fax(765) 453-1150
Organization SubpartNo
Authorized OfficialMatthew D PateCorporation President/co -owner · (765) 453-2267
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669582813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2705 S BERKLEY, Kokomo, IN 46902
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Other Names 1

Former Legal Business NamePhillip R Pate

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

Other Providers at the Same Location NPPES 2

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

ROBERT W LONG DDS MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
2705 S BERKLEY, BUILDING 2 SUITE B
KOKOMO, IN 46902
Howard County (765) 453-2267
PHILLIP R PATE DDS
Dentist (Pediatric Dentistry)
2705 S BERKLEY, BUILDING 2 SUITE B
KOKOMO, IN 46902
Howard County (765) 453-2267

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 Pediatric Dental Specialists Of Indiana PC's NPI number?

The NPI number for Pediatric Dental Specialists Of Indiana PC is 1669582813. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider was formerly known as Phillip R Pate.

Where is Pediatric Dental Specialists Of Indiana PC located?

Pediatric Dental Specialists Of Indiana PC is located at 2705 S Berkley Building 2 Suite B, Kokomo, IN 46902. The listed phone number is (765) 453-2267.

What is Pediatric Dental Specialists Of Indiana PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Dental Specialists Of Indiana PC accept?

Health plans from DentaQuest USA Insurance list Pediatric Dental Specialists Of Indiana PC 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 Pediatric Dental Specialists Of Indiana PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.