Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104442144 Individual Practitioner Male Practitioner

Kyle Davis

Dentist - General Practice • Kokomo, IN

Professional Overview & Biography Verified Profile Summary

Kyle Davis is a registered healthcare professional specializing in Dentist - General Practice in Kokomo, IN. Practice services are available at 310 E ALTO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 E Alto Rd

Kokomo, IN 469023674

Telephone 7658642328
Associated Practice Facility / Clinic
🏢 Shock Kokomo, Llc Facility NPI 1528780418

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kokomo, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
44 Specialists

Practicing in Kokomo, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12013415A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Scott Boltz , DDS

Dentist - General Practice

NPI 1821178609

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 06, 2025

Registered at 310 E ALTO RD, KOKOMO, IN 469023674 (Tel: 7658642328)

📍
Updated Business Mailing Address August 06, 2025

Registered at 310 E ALTO RD, KOKOMO, IN 469023674 (Tel: 7658642328)

NPI Profile Active June 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2020

Registered at 807 W GARDNER DR, MARION, IN 469521819 (Tel: 7656133128)

📍
Updated Business Mailing Address June 24, 2020

Registered at 807 W GARDNER DR, MARION, IN 469521819 (Tel: 7656133128)

👤
Provider Name / Credentials Updated June 24, 2020

Recorded as KYLE DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Dentist (License #12013415A in IN)

🟢
Initial NPI Registration & Enumeration June 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104442144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2020
Last Update: August 06, 2025
Sole Proprietor: No

Mailing Address

310 E Alto Rd

Kokomo, IN 469023674

Phone: 7658642328

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.