Organization
COVINGTON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES COVINGTON DDS (MANAGING MEMBER)
(734) 453-2180
Entity
Organization
Contact information
Practice address
360 S HARVEY ST, PLYMOUTH, MI 48170-1606
(734) 453-2180
Mailing address
360 S HARVEY ST, PLYMOUTH, MI 48170-1606
(734) 453-2180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689230799
LEVEL 1 NPI WHEN DR. BEN COVINGTON WAS AN EMPLOYEE DENTIST
MI
Enumeration date
02/23/2023
Last updated
02/23/2023
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