Copperas Cove Dentistry and Orthodontics PLLC
Organization Active NPI Dentist · Copperas Cove, TX
NPI 1891151999 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1891151999
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC
- Practice address
- 2726 E Business 190
Suite 112
Copperas Cove, TX 76522 - Phone
- (254) 542-3500
- Fax
- (972) 590-8809
- NPI assigned
- Jan 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Faith Gaskins
- Title
- Director of Credentialing
- Phone
- (972) 869-3789
Corporate family (same tax ID) 1
Practitioners 4
-
Paris E Blanco, DMD
-
Janelle Pham Comfort, D.M.D.
National Provider Directory
- Tax ID family
- Copperas Cove Dentistry and Orthodontics PLLC
Locations
2726 E Business 190
Ste 112
Copperas Cove, TX 76522
Phone (254) 542-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
2726 E Business 190
Suite 112
Copperas Cove, TX 76522
Mailing address
PO Box 734753
Dallas, TX 75373-4753
Phone (254) 542-3500
Other names
- Cove Total Dentistry and Orthodontics
Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.