Provider Demographics
NPI:1659534857
Name:COERVER, ASHLEY (DDS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:COERVER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 HIGHWAY 287 N STE 105
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-9260
Mailing Address - Country:US
Mailing Address - Phone:682-302-3283
Mailing Address - Fax:682-310-0200
Practice Address - Street 1:2041 HIGHWAY 287 N STE 105
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9260
Practice Address - Country:US
Practice Address - Phone:682-302-3283
Practice Address - Fax:682-310-0200
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30647122300000X
OK60241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice