| Covington Dental Partners, Llc | |
|
10115 Crown Ridge Dr Covington GA 30014-8700 | |
| (770) 786-9339 | |
| (770) 786-8481 |
| Full Name | Covington Dental Partners, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10115 Crown Ridge Dr, Covington, Georgia |
| Authorized Official Name and Position | Leigh Ellen Corley-allen (OFFICE MANAGER) |
| Authorized Official Contact | 7707869339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Dental Partners, Llc 10115 Crown Ridge Dr Covington GA 30014-8700 Ph: () - | Covington Dental Partners, Llc 10115 Crown Ridge Dr Covington GA 30014-8700 Ph: (770) 786-9339 |
| NPI Number | 1912434507 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 05/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912434507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN014323 (Georgia) | Primary |
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