COVEL,STACK AND HENON, DDS,PC - NPI 1649290560

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Covel,stack And Henon, Dds,pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVEL,STACK AND HENON, DDS,PC (NPI 1649290560) is a healthcare organization registered as a general practice in Vienna, Virginia and active in the NPI registry since July 2006. The organization lists Jerome A Covel, President, as its authorized official.

NPPES Registry Identity

NPI1649290560

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCOVEL,STACK AND HENON, DDS,PC

Location Address120 BEULAH RD NEVienna, VA 22180-4745

Mailing Address120 Beulah Rd NeVienna, VA 22180-4745 · (703) 938-2000 · Fax (703) 938-9447

Phone(703) 938-2000

Fax(703) 938-9447

Organization SubpartNo

Authorized OfficialJerome A CovelPresident · (703) 938-2000

Enumeration DateJuly 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1649290560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401007703

Definition

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.

120 BEULAH RD NE, Vienna, VA 22180

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP