Organization
COVINGTON DENTAL CARE
Active
Other names
East Metro Beautiful Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITHA R REDDY DMD (CEO/DENTIST)
(770) 787-1013
Entity
Organization
Contact information
Practice address
4139 BAKER STREET, SUITE 15, COVINGTON, GA 30014
(770) 787-1013
(770) 787-1018
Mailing address
4139 BAKER STREET,, SUITE 15, COVINGTON, GA 30014
(770) 787-1013
(770) 787-1018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000952465ABCD
—
GA
Enumeration date
06/13/2018
Last updated
06/13/2018
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