Dentura LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTURA LLC

Practice address

412 W Walnut St
Kokomo, IN 46901-8407

Phone

(317) 979-3768

NPI assigned

Feb 24, 2026

Last updated

Feb 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alec Douglas Willard, DDSNPI 1639738867

Title

Member

Phone

(317) 979-3768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alec Douglas Willard, DDS

  • Dentist
  • Gas City, IN
  • NPI 1639738867
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1104770346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13845 NANSEMOND DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W WALNUT ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469018407",
            "telephone_number": "317-979-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "ALEC",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-979-3768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Dennis, RBT
• Sarah C Dennis
• Dental Care, LLC
• Dental Professionals of Indiana, P.C. (Dixon Park Dental Care)
• Dental Professionals of Indiana, P.C. (Perfect Smiles Dental Care)
• Brandy Deremiah, RBT
• Beth S Dertz, PT
• Annemarie Paula Desanto, M.D.
• Creation Desautels, LMFT
• Stuart Devaul, MD

• Dental Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.