| Covington Cosmetic Dentistry | |
|
4106 Mill St Ne Suite B Covington GA 30014-2539 | |
| (770) 786-3915 | |
| (770) 786-7863 |
| Full Name | Covington Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4106 Mill St Ne, Covington, Georgia |
| Authorized Official Name and Position | Stephen Wesley Dean (DENTIST) |
| Authorized Official Contact | 7707863915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Cosmetic Dentistry Po Box 1826 Covington GA 30015-1826 Ph: (770) 786-3915 | Covington Cosmetic Dentistry 4106 Mill St Ne Suite B Covington GA 30014-2539 Ph: (770) 786-3915 |
| NPI Number | 1790103141 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790103141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10886 (Georgia) | Primary |
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