Organization
HEARTLAND DENTAL CARE OF INDIANA, PC
Active
Other names
21st Century Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2016 S ELIZABETH ST, KOKOMO, IN 46902
(765) 452-0028
(765) 452-0890
Mailing address
2016 S ELIZABETH ST, KOKOMO, IN 46902
(765) 452-0028
(765) 452-0890
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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