Individual
SHANNON NICOLE COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(636) 695-6050
Mailing address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(636) 695-6050
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2014014094
MO
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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