OrganizationActive
Dentura LLC
NPI 1104770346 · Dental Clinic/Center · Kokomo, IN
Provider details
- NPI number
- 1104770346
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alec Willard, Member(317) 979-3768
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
412 W Walnut St
Kokomo, IN 46901-8407
Phone: (317) 979-3768
Street-level locationGet directions
Mailing address
13845 Nansemond Dr
Carmel, IN 46032-1217
Registry dates
- Enumerated
- 2026-02-24
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.