COVINGTON DENTAL CARE (NPI# 1356834360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356834360 |
| Entity Type | Organization |
| Organization Name | COVINGTON DENTAL CARE |
| Other Organization Name | EAST METRO BEAUTIFUL SMILES |
| Practice Address |
4139 Baker Street Suite 15 Covington GA 30014 |
| Practice Telephone | 7707871013 |
| Practice Fax Number | 7707871018 |
| Mailing Telephone | 7707871013 |
| Mailing Fax Number | 7707871018 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | DR. ANITHA R REDDY (CEO/DENTIST) |
| Authorized Official Telephone | 7707871013 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN012610 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000952465ABCD | 05 |
| Other Name | Type Code |
|---|---|
| East Metro Beautiful Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609993955 | Covington Dental Care | Clinic/Center | 4139 Baker St Ne, Suite# 15, Covington, GA 30014-1405 | 2007-03-23 |
| Street Address |
4139 BAKER STREET SUITE 15 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| 1558764548 | Caitlin Elizabeth Krieger | Physician Assistant | 7229 Wheat Street Ne, Covington, GA 30014 | 2014-10-03 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1790252138 | John Michael Freihaut | Dentist | 4139 Baker St Ne Ste 15, Covington, GA 30014-1409 | 2018-10-24 |
| 1770078503 | Michael Benjamin Hampton | Dentist | 9164 Dr M L King Jr Ave, Covington, GA 30014-8710 | 2018-06-25 |
| 1194100016 | Kelsey M Thompson | Dentist | 720 W Sherrod Ave, Covington, TN 38019-3024 | 2015-07-21 |
| 1205264330 | Bright Smile Dental Clinic LLC | Dentist | 229 N Monroe Ave, Covington, VA 24426-1409 | 2013-10-29 |
| 1902188824 | Richard Roe Nelson | Dentist | 24105 184th Ave Se, Covington, WA 98042-4896 | 2011-09-16 |
| 1376831073 | Reese Family Dentistry | Dentist | 973 Highway 51 N, Suite 7, Covington, TN 38019-1594 | 2011-07-14 |
| 1588951412 | Northwest Family Dental Care Covington, Pllc | Dentist | 27081 185th Ave Se # B-105, Covington, WA 98042-8448 | 2011-06-29 |
| 1104146208 | Jenna Warlick Graham | Dentist | 1005 Avenue Saint Germain, Covington, LA 70433-6440 | 2010-06-11 |
| 1568624203 | James I Gilbert IIi Dds Inc | Dentist | 229 N Monroe Avenue, Covington, VA 24426 | 2008-06-25 |
| 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.