| Covington Family Dentistry Llc | |
|
4168 Baker St Ne Covington GA 30014-1404 | |
| (770) 787-2230 | |
| Not Available |
| Full Name | Covington Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 4168 Baker St Ne, Covington, Georgia |
| Authorized Official Name and Position | John Raymond Hendricks (OWNER) |
| Authorized Official Contact | 4043757326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Family Dentistry Llc 4168 Baker St Ne Covington GA 30014-1404 Ph: (770) 787-2230 | Covington Family Dentistry Llc 4168 Baker St Ne Covington GA 30014-1404 Ph: (770) 787-2230 |
| NPI Number | 1861738973 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861738973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10491 (Georgia) | Primary |
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