# MIDWEST FAMILY DENTAL CARE-KOKOMO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northview Dental of Kokomo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982288007
- **Authorized official:** JESSICA MARTINEZ (BILLING MANAGER)
- **Authorized official phone:** (269) 388-5832

## Contact information

- **Practice address:** 2714 ROCKFORD LN, KOKOMO, IN 46902-3204
- **Practice address phone:** (765) 453-9040
- **Practice address fax:** (616) 469-1036
- **Mailing address:** 4025 W MAIN ST STE 102, KALAMAZOO, MI 49006-3726
- **Mailing address phone:** (269) 388-5832
- **Mailing address fax:** (616) 469-1036

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021