Provider Demographics
NPI:1457569907
Name:COVE, SANDRA FIONA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:FIONA
Last Name:COVE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-4642
Mailing Address - Country:US
Mailing Address - Phone:781-235-5573
Mailing Address - Fax:508-881-7049
Practice Address - Street 1:37 MAIN ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1104
Practice Address - Country:US
Practice Address - Phone:508-881-7700
Practice Address - Fax:508-881-7049
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA182961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice