Copperas Cove Dentistry and Orthodontics Pllc
NPI #1891151999 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1891151999
- Entity Type
- Organization
- Organization Name
- Copperas Cove Dentistry and Orthodontics Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 6, 2016
- Last Updated
- Jan 4, 2023
Practice Location
- Address
- 2726 E BUSINESS 190
- Address 2
- SUITE 112
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522
- Phone
- (254) 542-3500
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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