Covington Dental Psc

LBN: Covington Dental Psc
Covington Dental Psc is an health care organization with primary practice located at 300 Pike St , Covington KY 41011. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Covington Dental Psc can be contacted via phone (859) 491-7453, or through Fultz, Rodney Brent via phone (859) 491-7453.

Contact Information

Primary practice address
300 Pike St Covington KY 41011
Phone: (859) 491-7453
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fultz, Rodney Brent Doctor of Dental Medicine (DMD)
Phone: (859) 491-7453

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1326198326
LBN Legal business name Covington Dental Psc
DBA Doing business as
Authorized official Fultz, Rodney Brent Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Dec 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326198326 NPPES
Kentucky MEDICAID 61942470

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