LAREDO COVENANT DENTAL, P.A. (NPI# 1477669257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477669257 |
| Entity Type | Organization |
| Organization Name | LAREDO COVENANT DENTAL, P.A. |
| Practice Address |
7917 Mcpherson Rd Suite 202 Laredo TX 78045-2811 |
| Practice Telephone | 9567128444 |
| Practice Fax Number | 9567128439 |
| Mailing Telephone | 9567128444 |
| Mailing Fax Number | 9567128439 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JIN M LEE (OWNER) |
| Authorized Official Telephone | 9567128444 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
21524 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21577 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS CHIP | G-6003101 | 01 |
| Street Address |
7917 MCPHERSON RD SUITE 202 |
| City | LAREDO |
| State | TX |
| Zip Code | 78045-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659681922 | Oliveira Audiology & Hearing Center Pllc | Hearing Aid Equipment | 7917 Mcpherson Rd, Suite 207, Laredo, TX 78045-2811 | 2010-10-20 |
| 1063733905 | Oliveira Audiology and Hearing Center Pllc | Audiologist | 7917 Mcpherson Rd, Suite 207, Laredo, TX 78045-2811 | 2010-06-15 |
| 1871814855 | Carlos T Oliveira LLC | Audiologist-Hearing Aid Fitter | 7917 Mcpherson Rd, Suite 207, Laredo, TX 78045-2811 | 2010-06-14 |
| 1194972547 | Celina Theresa Oliveira | Audiologist | 7917 Mcpherson Rd, Suite 207, Laredo, TX 78045-2811 | 2008-08-27 |
| 1982871778 | Jin Lee | Dentist | 7917 Mcpherson Rd, Suite 202, Laredo, TX 78045-2811 | 2008-05-12 |
| 1316114101 | Jae H Chun | Dentist | 7917 Mcpherson Rd, Suite 202, Laredo, TX 78045-2811 | 2008-05-12 |
| 1023292232 | Carlos T Oliveira | Pharmacist | 7917 Mcpherson Rd, Ste 207, Laredo, TX 78045-2811 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592367 | Karlo Luebbert | Licensed Vocational Nurse | 302 Shiloh Dr, Apt 301 E, Laredo, TX 78045 | 2020-06-09 |
| 1093330607 | Paloma Blanca Provider Services, LLC | Technician | 1101 Shiloh Drive, # 3, Laredo, TX 78045 | 2020-06-09 |
| 1558829630 | Sylvia R. Lozano | Home Health | 1101 Shiloh Dr. #3, Laredo, TX 78045 | 2019-03-07 |
| 1275014565 | Trinity Center Open Mri | Clinic/Center | 1110 Marshall Street, Laredo, TX 78045 | 2018-08-24 |
| 1992204721 | Juanita Yvette Garcia | In Home Supportive Care | 1914 Port Edward Dr, Laredo, TX 78045 | 2018-02-07 |
| 1699297895 | Alpha Primary Care, LLC | Technician | 624 Forest Loop, Laredo, TX 78045 | 2017-07-10 |
| 1689073025 | Laredo Emergency Center LLC | Clinic/Center | 2502 Ne Bob Bullock Loop, Laredo, TX 78045 | 2014-08-21 |
| 1235566993 | Dermatology Medical Center of South Texas, Pa | Specialist | 2344 Laguna Del Mar Ct Ste 101, Laredo, TX 78045 | 2013-09-26 |
| 1225304173 | Mario Trevino | Community/Behavioral Health | 9002 Snowfalls Dr, Laredo, TX 78045 | 2012-03-26 |
| 1497043368 | Velma Claudia Quintana | Counselor | 511 Cambridge Lp, Laredo, TX 78045 | 2011-07-13 |
| Find all providers in zip 78045 | ||||
| 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 |
|---|---|---|---|---|
| 1982228169 | Stephan A. Pope Dds, Pllc | Dentist | 4311 Clark Blvd Ste O, Laredo, TX 78043-4167 | 2020-06-03 |
| 1215560073 | Monica Perez | Dentist | 7307 Thomas Harris Dr, Laredo, TX 78041-2120 | 2020-02-19 |
| 1821507427 | Independence Planet Oral Healthcare, Pllc | Dentist | 2438 Monarch Dr Ste A-135, Laredo, TX 78045-6600 | 2017-09-26 |
| 1609391218 | Menta Dental | Dentist | 1211 E Del Mar Blvd Ste 3, Laredo, TX 78041-2406 | 2017-08-04 |
| 1851842900 | Carlos J. Romero D.d.s. and Assocaites P.l.l.c | Dentist | 3120 La Pita Mangana Road Suite #200, Laredo, TX 78046 | 2016-10-24 |
| 1578016663 | Arturo Molina Jr. | Dentist | 2439 Monarch Dr Unit 4, Laredo, TX 78045-6840 | 2016-07-26 |
| 1548611452 | Rodeo Laredo Dental & Orthodontics, Pllc | Dentist | 910 Guadalupe St Ste A, Laredo, TX 78040-5280 | 2016-06-22 |
| 1780049965 | Planet Oral Health Care Calton, Pllc | Dentist | 301 W. Calton Rd, Laredo, TX 78041-6339 | 2015-12-15 |
| 1043685837 | Samer Tabel P.C. | Dentist | 2420 Bob Bullock Loop Ste 18, Laredo, TX 78043-4490 | 2015-12-06 |
| 1154735942 | Matthew Dale Davenport | Dentist | 3402 E Del Mar Blvd Ste 260, Laredo, TX 78041-6599 | 2014-06-19 |
| Find all providers in LAREDO | ||||
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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.