OrganizationActive
Kokomo Implant and Oral Surgery, LLC
NPI 1992159552 · Oral and Maxillofacial Surgery (Dentist) · Kokomo, IN
Provider details
- NPI number
- 1992159552
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Wendy Beard, Office Manager(317) 841-1100
- License
- 12012362A (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2008 West Sycamore Street
Kokomo, IN 46901-4112
Phone: (795) 452-0033
Fax: (765) 457-2175
Street-level locationGet directions
Mailing address
9860 Westpoint Drive
Indianapolis, IN 46256-3398
Registry dates
- Enumerated
- 2016-04-20
- Last updated
- 2016-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.