Organization
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC
Active
Other names
Cove Total Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2726 E BUSINESS 190 SUITE 112, COPPERAS COVE, TX 76522
(254) 542-3500
(254) 542-4013
Mailing address
2403 LACY LANE, CARROLLTON, TX 75006
(972) 869-3789
(972) 590-8809
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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