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General NPI Number Information
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NPI Number | 1740341668
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Entity Type | Organization
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Legal Business Name | KENNETH H. COVINGTON DDS
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4052 E VAN BUREN SUITE C
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-9499
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Country | US
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Telephone | 479-253-7689
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Fax | 479-253-5485
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Provider Business Mailing Address
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Address Line | 4052 E VAN BUREN SUITE C
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-9499
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Country | US
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Telephone | 479-253-7689
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Fax | 479-253-5485
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KENNETH HUGHES COVINGTON
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Credential | DDS, PA
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Telephone | 479-253-7689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2502
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License Number State | AR
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