LAREDO COVENANT DENTAL, P.A.
NPI 1477669257
Dentist - General Practice in Laredo, TX

Active since August 22, 2006
7917 MCPHERSON RD, SUITE 202, LAREDO, TX 78045(956) 712-8444(956) 712-8439 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About LAREDO COVENANT DENTAL, P.A.

This page provides the complete NPI Profile along with additional information for Laredo Covenant Dental, P.a., a provider established in Laredo, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1477669257 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 21577 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. Laredo Covenant Dental, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jin M Lee D.d.s. (Owner)

NPI
1477669257 Verify this NPI
Provider Name
LAREDO COVENANT DENTAL, P.A.
Entity Type
Organization
Location Address
7917 MCPHERSON RD SUITE 202 LAREDO, TX 78045
Location Phone
(956) 712-8444
Location Fax
(956) 712-8439
Mailing Address
7917 MCPHERSON RD SUITE 202 LAREDO, TX 78045
Mailing Phone
(956) 712-8444
Mailing Fax
(956) 712-8439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Laredo Covenant Dental, P.a. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
21577
License State
TX
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

21524 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JIN M LEE D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(956) 712-8444

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G-6003101OTHER (01)TXTEXAS CHIP

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Hearing Instrument Specialist
7917 MCPHERSON RD, STE 207
LAREDO, TX 78045
Dentist (General Practice)
7917 MCPHERSON RD, SUITE 202
LAREDO, TX 78045
Dentist (General Practice)
7917 MCPHERSON RD, SUITE 202
LAREDO, TX 78045
Hearing Aid Equipment
7917 MCPHERSON RD, SUITE 207
LAREDO, TX 78045
Hearing Aid Equipment
7917 MCPHERSON RD, SUITE 207
LAREDO, TX 78045
Audiologist
7917 MCPHERSON RD, SUITE 207
LAREDO, TX 78045
Audiologist
7917 MCPHERSON RD, SUITE 207
LAREDO, TX 78045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477669257, enumerated as an "organization" on August 22, 2006.

The provider is located at 7917 MCPHERSON RD SUITE 202 LAREDO, TX 78045 and the phone number is (956) 712-8444.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.