| Covel,stack and Henon, Dds,pc | |
|
120 Beulah Rd Ne Vienna VA 22180-4745 | |
| (703) 938-2000 | |
| (703) 938-9447 |
| Full Name | Covel,stack and Henon, Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Beulah Rd Ne, Vienna, Virginia |
| Authorized Official Name and Position | Jerome a Covel (PRESIDENT) |
| Authorized Official Contact | 7039382000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covel,stack and Henon, Dds,pc 120 Beulah Rd Ne Vienna VA 22180-4745 Ph: (703) 938-2000 | Covel,stack and Henon, Dds,pc 120 Beulah Rd Ne Vienna VA 22180-4745 Ph: (703) 938-2000 |
| NPI Number | 1649290560 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649290560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007703 (Virginia) | Primary |
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