Kokomo Pediatric Dentistry, Llc is a Dental Public Health Clinic in Kokomo, Indiana. It is located at 2350 S Dixon Rd Ste 425, Kokomo, IN and its contact number is 765-453-6000. The authorized person for Kokomo Pediatric Dentistry, Llc is Kevin Beadle
who is Owner/dentist of the clinic and their contact number is 317-709-2318. The primary license number for Kokomo Pediatric Dentistry, Llc is 12010865A (Dental Public Health) in Indiana.
Kokomo Pediatric Dentistry, Llc Clinic deals with the science and art of dentistry for preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on community basis.
Complete Clinic Profile:
Kokomo Pediatric Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kokomo Pediatric Dentistry, Llc |
| Specialization: | Dental Public Health |
| Clinic Address: | 2350 S Dixon Rd Ste 425, Kokomo,
Indiana, 46902-6422 |
| Phone: | 765-453-6000 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kevin Beadle |
| Position: | Owner/dentist |
| Contact Number: | 317-709-2318 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kokomo Pediatric Dentistry, Llc clinic are as mentioned below.
| NPI Number: | 1063904100 |
| NPI Enumeration Date: | 05 Jun, 2018 |
| NPI Last Update On: | 05 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kokomo Pediatric Dentistry, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental Public Health | 12010865A | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200826740 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kokomo Pediatric Dentistry, Llc
1314 Regal Dr,
Carmel, Indiana |
| Zip: | 46032-9489 |
| Phone Number: | -- |
Patients can reach Kokomo Pediatric Dentistry, Llc at
2350 S Dixon Rd Ste 425, Kokomo, Indiana or can
call to book an appointment on 765-453-6000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.