# LADD DENTAL GROUP OF WABASH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134496060
- **Authorized official:** MONICA NELSON (FINANCE DIRECTOR)
- **Authorized official phone:** (765) 455-0085

## Contact information

- **Practice address:** 1903 ALBER ST, WABASH, IN 46992-1045
- **Practice address phone:** (260) 225-0527
- **Mailing address:** 2333 W LINCOLN RD, KOKOMO, IN 46902-8012
- **Mailing address phone:** (765) 455-0085
- **Mailing address fax:** (765) 455-6839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007486 | IN | Yes |

## Other

- **Enumeration date:** 11/21/2011
- **Last updated:** 03/20/2024