Organization
LADD ORTHODONTICS, P.C.
Active
Organization
LADD ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LADD DDS (CEO)
(765) 455-0085
Entity
Organization
Contact information
Practice address
3415 S LAFOUNTAIN ST, SUITE A, KOKOMO, IN 46902-3802
(765) 455-0085
(765) 455-6839
Mailing address
2333 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-0085
(765) 455-6839
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010856A
IN
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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