| Covenant Dental | |
|
512 W Bonds Ranch Rd Ste 100 Fort Worth TX 76131-3914 | |
| (817) 204-6686 | |
| Not Available |
| Full Name | Covenant Dental |
|---|---|
| Speciality | Dentist |
| Location | 512 W Bonds Ranch Rd Ste 100, Fort Worth, Texas |
| Authorized Official Name and Position | Mark Mehany (MANAGING MEMBER) |
| Authorized Official Contact | 8172046686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Dental 2300 Windsor Ct Bedford TX 76022-7858 | Covenant Dental 512 W Bonds Ranch Rd Ste 100 Fort Worth TX 76131-3914 Ph: (817) 204-6686 |
| NPI Number | 1124836986 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124836986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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