| Covington Dental Care | |
|
604 S Tyler St Covington LA 70433-3346 | |
| (985) 892-2273 | |
| (985) 892-2579 |
| Full Name | Covington Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 604 S Tyler St, Covington, Louisiana |
| Authorized Official Name and Position | David Franklin Davenport (OWNER) |
| Authorized Official Contact | 9858922273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Dental Care 604 S Tyler St Covington LA 70433-3346 Ph: (985) 892-2273 | Covington Dental Care 604 S Tyler St Covington LA 70433-3346 Ph: (985) 892-2273 |
| NPI Number | 1689814790 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689814790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5713 (Louisiana) | Primary |
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