# COVINGTON FAMILY DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790642908
- **Authorized official:** TAMMY KERRIGAN (FRONT OFFICE SUPERVISOR)
- **Authorized official phone:** (253) 630-5500

## Contact information

- **Practice address:** 17121 SE 270TH PL STE 202, COVINGTON, WA 98042-5431
- **Practice address phone:** (253) 630-5500
- **Practice address fax:** (253) 630-2930
- **Mailing address:** 17121 SE 270TH PL STE 202, COVINGTON, WA 98042-5431
- **Mailing address phone:** (253) 630-5500
- **Mailing address fax:** (253) 630-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2026
- **Last updated:** 01/08/2026
