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TODD AUSTIN KOVACH DDS MD NPI 1255570040


NPI Information

NPI: 1255570040
Provider Name: TODD AUSTIN KOVACH, DDS, MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
4969 E INTERSTATE 20 SERVICE RD N
SUITE 108
WILLOW PARK, TX
ZIP 76087
Phone: (817) 441-5000
Get Directions

Todd Austin Kovach, DDS, MD is an oral and maxillofacial surgery dentist in Willow Park, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Todd Austin Kovach, DDS, MD NPI is 1255570040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4969 E INTERSTATE 20 SERVICE RD N
SUITE 108
WILLOW PARK, TX
ZIP 76087-220
Phone: (817) 441-5000
Fax: (817) 441-5003

The enumeration date for this NPI number is 2/18/2009 and was last updated on 3/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryQ1436TEXASNo
21223S0112XDentistOral and Maxillofacial Surgery23925TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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