OrganizationActive
Pediatric Dental Specialists of Indiana PC
NPI 1669582813 · Pediatric Dentistry · Kokomo, IN
Pediatric Dental Specialists of Indiana PC is a Pediatric Dentistry organization in Kokomo, IN (NPI 1669582813).
Provider details
- NPI number
- 1669582813
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Pate, Corporation President/Co -Owner(765) 453-2267
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
2705 S Berkley
Building 2 Suite B
Kokomo, IN 46902
Phone: (765) 453-2267
Fax: (765) 453-1150
Street-level locationGet directions
Mailing address
2705 S Berkley
Kokomo, IN 46902
Other names (DBA / former)
- Former legal business name
- Phillip R Pate
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Dental Specialists of Indiana PC's NPI number?
- Pediatric Dental Specialists of Indiana PC's National Provider Identifier (NPI) is 1669582813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Specialists of Indiana PC?
- Pediatric Dental Specialists of Indiana PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Specialists of Indiana PC located?
- Pediatric Dental Specialists of Indiana PC's practice location on file with NPPES is 2705 S Berkley, Kokomo, IN 46902.
- What is Pediatric Dental Specialists of Indiana PC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Specialists of Indiana PC is (765) 453-2267.
- Who is the authorized official for Pediatric Dental Specialists of Indiana PC?
- The authorized official listed on Pediatric Dental Specialists of Indiana PC's NPPES record is Matthew Pate, Corporation President/Co -Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Specialists of Indiana PC's NPI active?
- Yes — Pediatric Dental Specialists of Indiana PC's NPI (1669582813) is active in the NPPES registry as of the last update on 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.