Comprehensive and Cosmetic Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

6662 Issued in NC

Legal business name

COMPREHENSIVE AND COSMETIC DENTISTRY

Practice address

400 Dolphin Dr
Jacksonville, NC 28546-5291

Phone

(910) 937-6454

Fax

(910) 937-6453

NPI assigned

Jan 31, 2012

Last updated

Oct 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward G Covert Jr., DDSNPI 1962551184

Title

Dentist

Phone

(910) 937-6454

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Comprehensive and Cosmetic Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shanie Singh Covert DDS PA

  • General Practice Dentistry
  • Sneads Ferry, NC
  • NPI 1124388335
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward G Covert Jr., D.D.S., DME

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1962551184
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1821360306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465291",
            "telephone_number": "910-937-6454",
            "fax_number": "910-937-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465291",
            "telephone_number": "910-937-6454",
            "fax_number": "910-937-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-937-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6662",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991827",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie Commiato, M.A., LMFTA
• Community Prevention Services, Inc.
• Community Soar Project
• Cindy A Compeggie
• Comphrensive Medical Care
• Comprehensive Wellness Center of North Carolina, PLLC
• Kelly Hill Comstock, LCSW-A
• Leigh Conant, MS, LMFT, SEP
• George M. Conekin III, O.D.
• Susan Connor, LCSW

• Dentist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.