NPI 1508404393

Shannon Nicole Covington, RDH

Practitioner Dental Hygienist Wentzville, MO

Practice location

Address: 1032 Crosswinds CT, Wentzville, MO 63385-4836
Phone: (636) 695-6050

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2014014094 (MO)

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Registry record

NPI: 1508404393
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2019
Record last updated: 12 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.