A Professional Dental Organization
Dentist in Covington, LA. Organization (NPI-2).
NPI number1235083684
StatusActive
Last updated in NPPESFeb 23, 2026
Details
- NPI
- 1235083684
- Entity type
- Organization (NPI-2)
- Legal business name
- A Professional Dental Organization
- Organization subpart
- Yes
- Enumeration date
- Feb 23, 2026
- Certification date
- Feb 23, 2026
- Last updated
- Feb 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Moresmiles Dental Spa (Doing Business As)
Practice location
7007 Highway 190 East Service RdCovington, LA 70433-4955
Phone 985-809-7645
Mailing address
5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Authorized official
Erika Melissa Menjivar
Sr. Credentialing Specialist
4695966137
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