Organization
EDWARD COVERT JR DDS FAMILY & COSMETIC DENTISTRY
Active
Other names
Family Comprehensive & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD G COVERT DDS (OWNER)
(910) 353-5171
Entity
Organization
Contact information
Practice address
400 DOLPHIN DR, JACKSONVILLE, NC 28546
(910) 353-5171
(910) 353-8810
Mailing address
400 DOLPHIN DR, JACKSONVILLE, NC 28546-5291
(910) 353-5171
(910) 353-8810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905672
—
NC
05
—
8990604
—
NC
Enumeration date
01/09/2007
Last updated
04/08/2025
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