# SHOCK KOKOMO, LLC

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

## Provider details

- **NPI number:** 1528780418
- **Authorized official:** LIZ SHOCK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (317) 450-5797

## Contact information

- **Practice address:** 310 E ALTO RD, KOKOMO, IN 46902-3674
- **Practice address phone:** (765) 864-2328
- **Mailing address:** 15437 STAFFORDSHIRE WAY, FISHERS, IN 46037-4644
- **Mailing address phone:** (317) 450-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2022
- **Last updated:** 09/16/2022