# KOVECK FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1982390100
- **Authorized official:** DR. STEPHEN MICHAEL KOVECK DDS (GENERAL DENTIST)
- **Authorized official phone:** (219) 929-8160

## Contact information

- **Practice address:** 534 N HALLECK ST, DEMOTTE, IN 46310-9553
- **Practice address phone:** (219) 987-5733
- **Mailing address:** 2506 PENNINGTON PL, VALPARAISO, IN 46383-9161
- **Mailing address phone:** (219) 929-8160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023