Covington Dental Partners, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN014323 Issued in GA

Legal business name

COVINGTON DENTAL PARTNERS, LLC

Practice address

10115 Crown Ridge Dr
Covington, GA 30014-8700

Phone

(770) 786-9339

Fax

(770) 786-8481

NPI assigned

May 15, 2017

Last updated

May 15, 2017By 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

Leigh Ellen Corley-Allen

Title

Office Manager

Phone

(770) 786-9339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1912434507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 CROWN RIDGE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 CROWN RIDGE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300148700",
            "telephone_number": "770-786-9339",
            "fax_number": "770-786-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON DENTAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "CORLEY-ALLEN",
        "authorized_official_first_name": "LEIGH ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-786-9339"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderica E. Cottrell, MD
• Covington Associates in Family Practice, LLC
• Covington Center for Family Dentistry
• Covington Dental Care (East Metro Beautiful Smiles)
• Covington Dental Care (East Metro Beautiful Smiles)
• Covington Family Chiropractic LLC
• Covington Family Dentistry LLC
• Covington Hearing Associates, LLC
• Covington Manor Nursing Home LLC (Covington Manor Nursing Home)
• Covington Manor Nursing Home, LLC

• Dental Clinic/Center in Covington, GA
• Providers in Covington, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.