Individual
DR. STEPHEN MICHAEL KOVECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1548
(219) 926-7595
Mailing address
106 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1548
(219) 926-7595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012938A
IN
Other
Enumeration date
06/13/2018
Last updated
01/24/2020
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