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Active NPI 1750421137 Individual Practitioner Male Practitioner

Dr. Dane E Wallsmith , DDS

Dentist - General Practice • Kokomo, IN

Professional Overview & Biography Verified Profile Summary

Dr. Dane Wallsmith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kokomo, IN. Practice services are available at 3415 S LAFOUNTAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3415 S Lafountain St
Suite D

Kokomo, IN 469023802

Telephone 7654533412
Associated Practice Facility / Clinic
🏢 Ladd Orthodontics, P.c. Facility NPI 1467735332

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12007395A

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

3 Associated Practitioners
NPI 1073590048

Doctor of Optometry

Dr. Charles Simons , DDS MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1306997465

DDSMSD

Dr. Charles Bartholomew , DDS

Dentist - General Practice

NPI 1851462980

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3415 S LAFOUNTAIN ST, SUITE D, KOKOMO, IN 469023802 (Tel: 7654533412)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3415 S LAFOUNTAIN ST, SUITE D, KOKOMO, IN 469023802 (Tel: 7654533412)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANE WALLSMITH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12007395A in IN)

🟢
Initial NPI Registration & Enumeration February 07, 2007

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: 1750421137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3415 S Lafountain St, Suite D

Kokomo, IN 469023802

Phone: 7654533412

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.