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Organization

LADD DENTAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY LADD (CEO)
(765) 455-0085
Entity
Organization

Contact information

Practice address
2333 W LINCOLN RD, KOKOMO, IN 46902-8012
(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
1223G0001X
General Practice Dentistry
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200222770A
IN
Enumeration date
07/27/2006
Last updated
04/15/2026
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