LIFETIME DENTAL CARE OF IN, PC (NPI# 1396957189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396957189 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF IN, PC |
| Other Organization Name | MARKLAND FAMILY DENTAL |
| Practice Address |
927 S Washington St Kokomo IN 46901 |
| Practice Telephone | 7658687113 |
| Practice Fax Number | 7658687113 |
| Mailing Telephone | 7658687113 |
| Mailing Fax Number | 7658687113 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY KROEGER (INS COOD) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Markland Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497977094 | Lifetime Dental Care of In, PC | Dentist | 1516 Synch Lane, Suite C, Clarksville, IN 47129 | 2007-05-03 |
| Street Address |
927 S WASHINGTON ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| 1730125402 | Lawrence O Larson | Anesthesiology | 1907 W Sycamore, Kokomo, IN 46901 | 2006-06-21 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1801390992 | Fraiz Dental Group P.C. | Dentist | 604 E Boulevard Ste A, Kokomo, IN 46902-2286 | 2018-03-22 |
| 1326288705 | John Klooster | Dentist | 2918 S Reed Rd, Kokomo, IN 46902-3991 | 2009-02-25 |
| 1861668071 | William Robert Grider | Dentist | 4335 S County Rd, Kokomo, IN 46902 | 2008-05-07 |
| 1437336922 | Alberto Velasco | Dentist | 2124 E Boulevard, Kokomo, IN 46902-2401 | 2008-01-28 |
| 1336324375 | Walter C. Brown II | Dentist | 2714 Rockford Ln, Kokomo, IN 46902-3204 | 2008-01-09 |
| 1962619890 | Robert John Bour | Dentist | 3423 S Lafountain St, Kokomo, IN 46902-3856 | 2007-05-17 |
| 1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
| 1013139542 | Dental Professionals of Indiana, P.C. | Dentist | 2362 West Blvd, Suite A, Kokomo, IN 46902 | 2007-05-03 |
| Find all providers in KOKOMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.