Organization
JACOB DENT, D.D.S., COVINGTON DENTAL GROUP, A PROFESSIONAL CORPORATION
Active
Other names
Covington Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DENT DDS (OWNER)
(985) 718-1439
Entity
Organization
Contact information
Practice address
509 N HWY 190 STE 100, COVINGTON, LA 70433
(985) 718-1439
(985) 918-5583
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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