Organization
DENTURA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEC DOUGLAS WILLARD DDS (MEMBER)
(317) 979-3768
Entity
Organization
Contact information
Practice address
412 W WALNUT ST, KOKOMO, IN 46901-8407
(317) 979-3768
Mailing address
13845 NANSEMOND DR, CARMEL, IN 46032-1217
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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