# MKD DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grabill Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164786133
- **Authorized official:** DR. MATTHEW STEVEN KOLKMAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (260) 627-1211

## Contact information

- **Practice address:** 13307 WITMER RD, GRABILL, IN 46741-9636
- **Practice address phone:** (260) 627-1211
- **Practice address fax:** (260) 627-1277
- **Mailing address:** 13307 WITMER RD, GRABILL, IN 46741-9636
- **Mailing address phone:** (260) 627-1211
- **Mailing address fax:** (260) 627-1277

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 08/11/2020
