COVINGTON FAMILY DENTAL, INC (NPI# 1043527351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043527351 |
| Entity Type | Organization |
| Organization Name | COVINGTON FAMILY DENTAL, INC |
| Practice Address |
300 Pike St Covington KY 41011-2127 |
| Mailing Address |
1355 Gail Dr Buffalo Grove IL 60089-1141 |
| Practice Telephone | 8594917453 |
| Mailing Telephone | 8478280213 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | MR. QUN WANG (PRESIDENT) |
| Authorized Official Telephone | 8478280213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100138020 | 05 |
| Street Address |
300 PIKE ST |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326198326 | Covington Dental Psc | Dentist | 300 Pike St, Covington, KY 41011 | 2007-01-11 |
| 1164697306 | Danny Lee Collins | Dentist | 300 Pike St, Covington Dental, Covington, KY 41011 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| 1144732223 | Cali Nicole Spell | Dentist | 79132 Highway 40, Covington, LA 70435-9329 | 2017-10-30 |
| 1346693892 | Kyle Blair | Dentist | 17121 Se 270th Pl Ste 202, Covington, WA 98042-5431 | 2016-07-20 |
| 1134570591 | Dr. Bill Gramzinski, D.m.d., P.C. | Dentist | 3204 Mill St Ne, Covington, GA 30014-2538 | 2016-06-28 |
| 1083062228 | Solomon Yakubov | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014-3001 | 2016-05-27 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
| 1245676568 | Magnolia Dental LLC | Dentist | 6061 Pinnacle Parkway, Covington, LA 70433 | 2013-05-14 |
| 1861738973 | Covington Family Dentistry LLC | Dentist | 4168 Baker St Ne, Covington, GA 30014-1404 | 2012-12-17 |
| 1982966537 | Charles Zachary Staples | Dentist | 6061 Pinnacle Pkwy, Covington, LA 70433-9193 | 2012-06-11 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.