Individual provider · Type 1 NPI

Todd Austin Kovach, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Willow Park, TX

NPI number 1255570040 Active

Practice location

4969 E Interstate 20 Service Rd N, Suite 108
Willow Park, TX 76087-3220

Fax (817) 441-5003

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X23925 (TX)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XQ1436 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Another provider at this address

About NPI 1255570040

Todd Austin Kovach, DDS, MD's National Provider Identifier is 1255570040, issued on Feb 18, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Willow Park, TX. The record was last updated on Mar 6, 2017.