Provider Demographics
NPI:1376687541
Name:COVIELLO, VINCENT FRANCO (DDS)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:FRANCO
Last Name:COVIELLO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3308
Mailing Address - Country:US
Mailing Address - Phone:540-504-7300
Mailing Address - Fax:540-504-7319
Practice Address - Street 1:1010 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3308
Practice Address - Country:US
Practice Address - Phone:540-504-7300
Practice Address - Fax:540-504-7319
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4014120191223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery