| Covington Dental PSC | |
|
300 Pike St Covington KY 41011 | |
| (859) 491-7453 | |
| Not Available |
| Full Name | Covington Dental PSC |
|---|---|
| Speciality | Dentist |
| Location | 300 Pike St, Covington, Kentucky |
| Authorized Official Name and Position | Rodney Brent Fultz (SEC TREAS) |
| Authorized Official Contact | 8594917453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Dental PSC 300 Pike St Covington KY 41011 Ph: (859) 491-7453 | Covington Dental PSC 300 Pike St Covington KY 41011 Ph: (859) 491-7453 |
| NPI Number | 1326198326 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326198326 | NPI | - | NPPES |
| 61942470 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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