Provider Demographics
NPI:1013363902
Name:JEFF KOVER DDS
Entity Type:Organization
Organization Name:JEFF KOVER DDS
Other - Org Name:TRUSTED SMILES DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-428-0487
Mailing Address - Street 1:959 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3324
Mailing Address - Country:US
Mailing Address - Phone:614-428-0487
Mailing Address - Fax:206-309-8562
Practice Address - Street 1:3545 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3907
Practice Address - Country:US
Practice Address - Phone:614-428-0487
Practice Address - Fax:206-309-8562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30020433122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty