Covington Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COVINGTON FAMILY DENTISTRY, PLLC

Doing business as

Covington Family Dentistry

Practice address

17224 SE 272ND St Ste C
Covington, WA 98042-4953

Phone

(253) 630-4400

Fax

(253) 631-2267

NPI assigned

May 7, 2024

Last updated

May 7, 2024By 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

Nick Sundiam

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

Other names 1

• Covington Family Dentistry Doing business as

Locations

Practitioners 3

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.

• Laura Burgett

  • General Practice Dentistry
  • Covington, WA
  • NPI 1215385877
  NPD (past)
• Laura Liutkiene, D.D.S

  • General Practice Dentistry
  • Covington, WA
  • NPI 1477728749
  NPD (past)
• Van Reid, D.D.S

  • Dentist
  • Bonney Lake, WA
  • NPI 1972918191
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1962250936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17224 SE 272ND ST STE C",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424953",
            "telephone_number": "253-630-4400",
            "fax_number": "253-631-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17224 SE 272ND ST STE C",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424953",
            "telephone_number": "253-630-4400",
            "fax_number": "253-631-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SUNDIAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Jean Cotten, CBT
• Allie Coulter, RD, CD
• Covington Audiology & Hearing LLC
• Covington Chiropractic LLC
• Covington Family Dental, PLLC
• Covington Family Wellness Inc
• Covington Multicare Hospital Pharmacy
• Covington Orthodontics and Pediatric Dentistry L.L.C.
• Covington Pharmacy Inc
• W. R. Crow, PHARM-D, CDM, CDE

• General Practice Dentistry in Covington, WA
• Providers in Covington, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.