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NPI Code Detail

MEDICARE: SETH COVERT D.D.S.

MEDICARE: SETH COVERT D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.024995OH
21223G0001XGeneral Practice DentistryD011362AZ

General Provider Information

NPI Number : 1982068771
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH COVERT D.D.S.
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE STE 1600
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2908
Country : US
Telephone Number : 602-323-3344
Fax Number : 602-323-3496
Provider Business Practice Location Address
First Line : 635 E BASELINE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-6583
Country : US
Telephone Number : 602-243-7277
Fax Number : 602-243-1235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 08/04/2022

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Directions to “ SETH COVERT D.D.S.” Practice Location

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