Individual
KIP STOKES COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1405 BRUSHY CREEK RD, TAYLORS, SC 29687-4008
(864) 244-3131
Mailing address
110 VILLA RD, GREENVILLE, SC 29615-3010
(864) 282-1935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC7046
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2010
Last updated
03/04/2013
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