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Organization
COVINGTON DMD PLLC
Active
Organization
COVINGTON DMD PLLC
Active
Other names
Carolina TMJ and Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE)
(864) 419-4516
Entity
Organization
Contact information
Practice address
817 E MOREHEAD ST STE 250, CHARLOTTE, NC 28202-2725
(704) 585-8580
(704) 585-8581
Mailing address
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
(864) 282-1935
(864) 751-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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