| Lspd At Cove Pllc | |
|
2705 E Hwy 190, Suite 101 Copperas Cove TX 76522 | |
| (512) 676-4444 | |
| Not Available |
| Full Name | Lspd At Cove Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2705 E Hwy 190, Suite 101, Copperas Cove, Texas |
| Authorized Official Name and Position | Marty Montgomery (DMD/OWNER) |
| Authorized Official Contact | 5126764444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lspd At Cove Pllc 505 E Huntland Dr #340 Austin TX 78752 Ph: (512) 206-2975 | Lspd At Cove Pllc 2705 E Hwy 190, Suite 101 Copperas Cove TX 76522 Ph: (512) 676-4444 |
| NPI Number | 1336604867 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336604867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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