Koveck Family Dentistry LLC
Dentist in Demotte, IN. Organization (NPI-2).
NPI number1982390100
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1982390100
- Entity type
- Organization (NPI-2)
- Legal business name
- Koveck Family Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
534 N Halleck StDemotte, IN 46310-9553
Phone 219-987-5733
Mailing address
2506 Pennington PlValparaiso, IN 46383-9161
Phone 219-929-8160
Authorized official
Stephen Michael Koveck
General Dentist
2199298160
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