# HEARTLAND DENTAL CARE OF INDIANA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL CARE OF INDIANA, PC
- **Other names:** Kokomo Oral Implantology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497954622
- **Legal business name:** HEARTLAND DENTAL CARE OF INDIANA, PC
- **Authorized official:** AMY KROEGER (INS COOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 315 W LINCOLN RD, SUITE B, KOKOMO, IN 46902-3850
- **Practice address phone:** (765) 453-7692
- **Practice address fax:** (765) 453-7694
- **Mailing address:** 315 W LINCOLN RD, SUITE B, KOKOMO, IN 46902-3850
- **Mailing address phone:** (765) 453-7692
- **Mailing address fax:** (765) 453-7694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 07/17/2007