Provider Demographics
NPI:1992811673
Name:COVINGTON, KENNETH HUGHES (D D S)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:HUGHES
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4052 E VAN BUREN
Mailing Address - Street 2:SUITE C
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9499
Mailing Address - Country:US
Mailing Address - Phone:479-253-7689
Mailing Address - Fax:479-253-5485
Practice Address - Street 1:4052 E VAN BUREN
Practice Address - Street 2:SUITE C
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9499
Practice Address - Country:US
Practice Address - Phone:479-253-7689
Practice Address - Fax:479-253-5485
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR25021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice