Ladd Dental Group of Wabash, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007486 Issued in IN

Legal business name

LADD DENTAL GROUP OF WABASH, P.C.

Practice address

1903 Alber St
Wabash, IN 46992-1045

Phone

(260) 225-0527

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Monica Nelson

Title

Finance Director

Phone

(765) 455-0085

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Flores, DDS

  • Dentist
  • Peru, IN
  • NPI 1073384509
  NPD (past)
• Lauren Keiko Griebenow, DDS

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1356829758
  NPD (past)
• Bryan Schmidt, DDS

  • Dentist
  • Sheridan, IN
  • NPI 1639793870
  NPD (past)
• Harold B. Smith

  • General Practice Dentistry
  • Kokomo, IN
  • NPI 1235143470
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1134496060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028012",
            "telephone_number": "765-455-0085",
            "fax_number": "765-455-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ALBER ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921045",
            "telephone_number": "260-225-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADD DENTAL GROUP OF WABASH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "765-455-0085"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime L Kinsey
• Stefanie Knote
• Kroger Limited Partnership I
• Lisa Renee Kroh, RPH
• Megan Marie Krom, FNP-C
• Keith William Lancaster, DPT
• Janet Lynn Larkin, LMHC
• James Lebamoff, MD
• Kathleen Leckrone, NP
• Andrew A Liechty, LCSW

• General Practice Dentistry in Wabash, IN
• Providers in Wabash, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.