Provider Demographics
NPI:1295833705
Name:COVERT, NANCY MILLER HEIN (DMD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MILLER HEIN
Last Name:COVERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:MILLER
Other - Last Name:HEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2826 ROSS CLARK CIR STE 305
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-2017
Mailing Address - Country:US
Mailing Address - Phone:334-305-3290
Mailing Address - Fax:334-305-3310
Practice Address - Street 1:2826 ROSS CLARK CIR STE 305
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-2017
Practice Address - Country:US
Practice Address - Phone:334-305-3690
Practice Address - Fax:334-305-3310
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL51291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51503007OtherBCBS