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Heather Waddelow, LDH — NPI 1154931236, Kokomo, IN | NPI Central

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NPI 1154931236

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Heather Waddelow, LDH

NPI 1154931236 · Dental Hygienist · Kokomo, IN

Provider details

NPI number: 1154931236
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: LDH
Sex: Female
Sole proprietor: No
License: 13004179A (IN)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense 13004179A (IN)
Dental Providers

Practice location

3118 S Lafountain St

Kokomo, IN 46902-3710

Phone: (765) 864-4160

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

3118 S Lafountain St

Kokomo, IN 46902-3710

Registry dates

Enumerated: 2020-08-04
Last updated: 2020-08-04
Certified: 2020-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.