OrganizationActive
Kokomo Oral and Maxillofacial Surgery P.C.
NPI 1346309374 · Oral and Maxillofacial Surgery Clinic/Center · Kokomo, IN
Provider details
- NPI number
- 1346309374
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Thompson, President(765) 453-5444
- License
- 12008623A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2705 S Berkley Rd
Suite 4d
Kokomo, IN 46902-8025
Phone: (765) 453-5444
Approximate (ZIP-level) locationGet directions
Mailing address
2705 S Berkley Rd
Kokomo, IN 46902-8025
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.