# COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cove Total Dental and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558925636
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 2726 E BUSINESS 190 SUITE 112, COPPERAS COVE, TX 76522
- **Practice address phone:** (254) 542-3500
- **Practice address fax:** (254) 542-4013
- **Mailing address:** 2403 LACY LANE, CARROLLTON, TX 75006
- **Mailing address phone:** (972) 869-3789
- **Mailing address fax:** (972) 590-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2019
- **Last updated:** 04/24/2019