Provider Demographics
NPI:1508482860
Name:GARCIA- ALCOVER DENTAL PLLC
Entity Type:Organization
Organization Name:GARCIA- ALCOVER DENTAL PLLC
Other - Org Name:GARCIA - ALCOVER DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-663-6040
Mailing Address - Street 1:6720 CHIMNEY ROCK RD.
Mailing Address - Street 2:SUITE S
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081
Mailing Address - Country:US
Mailing Address - Phone:713-663-6040
Mailing Address - Fax:713-666-3370
Practice Address - Street 1:6720 CHIMNEY ROCK RD.
Practice Address - Street 2:SUITE S
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081
Practice Address - Country:US
Practice Address - Phone:713-663-6040
Practice Address - Fax:713-666-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4169849Medicaid