| Kovach Oral Surgery, Pllc | |
|
4969 E Interstate 20 Service Rd N Willow Park TX 76087-3220 | |
| (817) 441-5000 | |
| (817) 441-5003 |
| Full Name | Kovach Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4969 E Interstate 20 Service Rd N, Willow Park, Texas |
| Authorized Official Name and Position | Todd A Kovach (MANAGING MEMBER) |
| Authorized Official Contact | 8174415000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kovach Oral Surgery, Pllc 4969 E Interstate 20 Service Rd N Willow Park TX 76087-3220 Ph: (817) 441-5000 | Kovach Oral Surgery, Pllc 4969 E Interstate 20 Service Rd N Willow Park TX 76087-3220 Ph: (817) 441-5000 |
| NPI Number | 1962888149 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962888149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 23925 (Texas) | Primary |
Crown Pointe Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Shops Blvd, Willow Park, TX 76087 Phone: 817-441-7654 | |
Willow Park Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5189 E Interstate 20 Service Rd S, 102, Willow Park, TX 76087 Phone: 817-441-2684 | |
Robert Casey Stroud, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 El Chico Trl, Suite 101, Willow Park, TX 76087 Phone: 817-441-2425 |