KOKOMO IMPLANT AND ORAL SURGERY, LLC
NPI 1992159552
Dentist - Oral and Maxillofacial Surgery in Kokomo, IN

Q: What is Kokomo Implant And Oral Surgery, LLC's NPI number?

The NPI number for Kokomo Implant And Oral Surgery, LLC is 1992159552. It was assigned to this organization in the NPPES registry on April 20, 2016.

Q: What is Kokomo Implant And Oral Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since April 20, 2016

2008 WEST SYCAMORE STREET, KOKOMO, IN 46901(795) 452-0033(765) 457-2175 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kokomo Implant And Oral Surgery, Llc NPPES

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

KOKOMO IMPLANT AND ORAL SURGERY, LLC (NPI 1992159552) is a healthcare organization registered as an oral and maxillofacial surgery in Kokomo, Indiana and active in the NPI registry since April 2016. The organization lists Wendy S. Beard, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992159552

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameKOKOMO IMPLANT AND ORAL SURGERY, LLC

Location Address2008 WEST SYCAMORE STREETKokomo, IN 46901-4112

Mailing Address9860 Westpoint Drive, Suite 100Indianapolis, IN 46256-3398 · (317) 841-1100 · Fax (317) 841-2200

Phone(795) 452-0033

Fax(765) 457-2175

Organization SubpartNo

Authorized OfficialWendy S. BeardOffice Manager · (317) 841-1100

Enumeration DateApril 20, 2016

✔ NPI 1992159552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in IN · 12010961A✔ Licensed in IN · 12012362A✔ Licensed in IN · 12007255A

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2008 WEST SYCAMORE STREET, Kokomo, IN 46901

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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Implant And Oral Surgery, LLC's NPI number?

The NPI number for Kokomo Implant And Oral Surgery, LLC is 1992159552. It was assigned to this organization in the NPPES registry on April 20, 2016.

Where is Kokomo Implant And Oral Surgery, LLC located?

Kokomo Implant And Oral Surgery, LLC is located at 2008 West Sycamore Street, Kokomo, IN 46901. The listed phone number is (795) 452-0033.

What is Kokomo Implant And Oral Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kokomo Implant And Oral Surgery, LLC was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.