DENTALHOME OF COVINGTON
NPI 1689184129
Clinic/Center - Dental in Covington, GA
Active since October 11, 2017
About Dentalhome Of Covington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENTALHOME OF COVINGTON (NPI 1689184129) is a healthcare organization registered as a dental in Covington, Georgia and active in the NPI registry since October 2017. The organization lists Monique Tucker, Director Of Insurance, as its authorized official.
NPPES Registry Identity
NPI1689184129
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLITTLE P.C.
Location Address13015 BROWN BRIDGE RD STE 340&350Covington, GA 30016-9111
Mailing Address250 Adley WayGreenville, SC 29607-6511 · (843) 990-9998 · Fax (866) 568-4935
Phone(843) 990-9998
Organization SubpartNo
Authorized OfficialMonique TuckerDirector Of Insurance · (843) 990-9998
Enumeration DateOctober 11, 2017
Last NPPES UpdateDecember 8, 20173 updates tracked since enumeration
✔ NPI 1689184129 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13015 BROWN BRIDGE RD STE 340&350, Covington, GA 30016
Other Names 1
Doing Business AsDentalhome Of Covington
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689184129, enumerated as an "organization" on October 11, 2017.
The provider is located at 13015 BROWN BRIDGE RD STE 340&350 COVINGTON, GA 30016 and the phone number is (843) 990-9998.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.