Organization · Type 2 NPI

Little P.c.

Dental Clinic/Center · Covington, GA

NPI number 1689184129 Active

Practice location

13015 Brown Bridge Rd Ste 340&350
Covington, GA 30016-9111

Call (843) 990-9998 Map

Mailing address

250 Adley Way
Greenville, SC 29607-6511

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1689184129
Entity type: Organization (Type 2)
Issued: Oct 11, 2017
Last updated: Dec 8, 2017
Status: Active

Other names

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Dentalhome of Covington · doing business as
Dentalhome of Covington · doing business as

Authorized official

Monique Tucker
Director of Insurance
(843) 990-9998

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689184129

Little P.c.'s National Provider Identifier is 1689184129, issued on Oct 11, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Covington, GA. The record was last updated on Dec 8, 2017.