Individual
DR. JONATHAN BLAINE COVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
820 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-2920
(501) 664-1733
Mailing address
20920 PRESLEY DR, ROLAND, AR 72135-9236
(501) 743-6095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4186
AR
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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