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KOKOMO FAMILY DENTAL LLC
NPI 1801766878
Dentist - General Practice in Kokomo, IN

Active since November 06, 2025
3416 S DIXON RD, KOKOMO, IN 46902(765) 455-1971(765) 457-8359 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kokomo Family Dental Llc NPPES

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

KOKOMO FAMILY DENTAL LLC (NPI 1801766878) is a healthcare organization registered as a general practice in Kokomo, Indiana and active in the NPI registry since November 2025. The organization lists Srinivas Durshanapalli, President, as its authorized official.

NPPES Registry Identity

NPI1801766878
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOKOMO FAMILY DENTAL LLC
Location Address3416 S DIXON RDKokomo, IN 46902-5642
Mailing Address3416 S Dixon RdKokomo, IN 46902-5642 · (765) 455-1971 · Fax (765) 457-8359
Phone(765) 455-1971
Fax(765) 457-8359
Organization SubpartNo
Authorized OfficialSrinivas DurshanapalliPresident · (888) 244-8899
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1801766878 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.
3416 S DIXON RD, Kokomo, IN 46902
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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

Other Providers at the Same Location NPPES 5

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

ETHAN EDWARD HEWITT
Behavior Technician
3416 S DIXON RD
KOKOMO, IN 46902
Howard County (765) 431-9651
MOLLY RENAE BUDD
Behavior Technician
3416 S DIXON RD
KOKOMO, IN 46902
Howard County (765) 210-1284
ADYLYNN ALTMAN
Behavior Technician
3416 S DIXON RD
KOKOMO, IN 46902
Howard County No phone listed
MR. RYAN MATTHEW KENDALL
Behavior Technician
3416 S DIXON RD
KOKOMO, IN 46902
Howard County (765) 210-1284
DELANEY MADISON SMITH
Behavior Technician
3416 S DIXON RD
KOKOMO, IN 46902
Howard County (765) 210-1284

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 Kokomo Family Dental LLC's NPI number?

The NPI number for Kokomo Family Dental LLC is 1801766878. It was assigned to this organization in the NPPES registry on November 6, 2025.

Where is Kokomo Family Dental LLC located?

Kokomo Family Dental LLC is located at 3416 S Dixon Rd, Kokomo, IN 46902. The listed phone number is (765) 455-1971.

What is Kokomo Family Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kokomo Family Dental LLC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.