COVE FAMILY DENTISTRY, LLC NPI 1134598246

Clinic/Center (Dental) in Owens Cross Roads, AL

NPI 1134598246 Organization Clinic/Center Dental

About COVE FAMILY DENTISTRY, LLC

Cove Family Dentistry, Llc is a provider established in Owens Cross Roads, Alabama specializing in clinic/center (dental) . The NPI number of Cove Family Dentistry, Llc is 1134598246 and was assigned on September 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 6157 (AL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Elizabeth Ellen Duling Dmd (Owner, Dentist, Sole Member)

NPI

1134598246

Provider NameCOVE FAMILY DENTISTRY, LLC
Provider Location Address210 SUTTON RD SE OWENS CROSS ROADS, AL 35763
Provider Mailing Address210 SUTTON RD SE OWENS CROSS ROADS, AL 35763
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-18-2015
Last Update Date11-14-2018


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental
License No.6157
License StateAL

Business Address

COVE FAMILY DENTISTRY, LLC
210 SUTTON RD SE
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 534-1475

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Mailing Address

COVE FAMILY DENTISTRY, LLC
210 SUTTON RD SE
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 534-1475



Authorized Official

Authorized Official NameDR. ELIZABETH ELLEN DULING DMD
Authorized Official TitleOWNER, DENTIST, SOLE MEMBER
Authorized Official Phone(256) 534-1475

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo

Taxonomy Description: Not Available

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285882860DR. EDWIN LEE TUCKER D.M.D
Individual
Dentist210 SUTTON RD SE
OWENS CROSS ROADS, AL 35763
(256) 534-1475

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.