RIDDER DENTAL LLC
NPI 1760113534
Clinic/Center - Dental in Kokomo, IN

Active since June 22, 2022
604 E BOULEVARD STE A, KOKOMO, IN 46902(765) 864-2325 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ridder Dental Llc NPPES

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

RIDDER DENTAL LLC (NPI 1760113534), doing business as Kokomo Family Dentistry, is a healthcare organization registered as a dental in Kokomo, Indiana and active in the NPI registry since June 2022. The organization lists Jaclyn Kristine Ridder, Owner, as its authorized official.

NPPES Registry Identity

NPI1760113534
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRIDDER DENTAL LLC
Location Address604 E BOULEVARD STE AKokomo, IN 46902-2286
Mailing Address6706 June Rose CtNoblesville, IN 46062-9512 · (317) 418-1342
Organization SubpartNo
Authorized OfficialJaclyn Kristine RidderOwner · (317) 418-1342
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1760113534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
604 E BOULEVARD STE A, Kokomo, IN 46902

Other Names 1

Doing Business AsKokomo Family Dentistry

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
604 E BOULEVARD STE A
KOKOMO, IN 46902

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 Ridder Dental LLC's NPI number?

The NPI number for Ridder Dental LLC is 1760113534. It was assigned to this organization in the NPPES registry on June 22, 2022. The provider is doing business as Kokomo Family Dentistry.

Where is Ridder Dental LLC located?

Ridder Dental LLC is located at 604 E Boulevard Ste A, Kokomo, IN 46902. The listed phone number is (765) 864-2325.

What is Ridder Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ridder Dental LLC was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.