TODD AUSTIN KOVACH (NPI# 1255570040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255570040 |
| Entity Type | Individual |
| Full Name | TODD AUSTIN KOVACH |
| Credential | DDS, MD |
| Practice Address |
4969 E Interstate 20 Service Rd N Suite 108 Willow Park TX 76087-3220 |
| Mailing Address |
4969 E Interstate 20 Service Rd N Suite 108 Willow Park TX 76087 |
| Practice Telephone | 8174415000 |
| Practice Fax Number | 8174415003 |
| Mailing Telephone | 8174415000 |
| Mailing Fax Number | 8174415003 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
23925 | TX | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | Q1436 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376505362 | Todd A. Kovach | Internal Medicine | 455 Pinellas St, Clearwater, FL 33756-3367 | 2006-04-05 |
| Street Address |
4969 E INTERSTATE 20 SERVICE RD N SUITE 108 |
| City | WILLOW PARK |
| State | TX |
| Zip Code | 76087-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888149 | Kovach Oral Surgery, Pllc | Dentist | 4969 E Interstate 20 Service Rd N, Willow Park, TX 76087-3220 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264844 | Archstone Dental - Aledo Pllc | Dentist | 103 Willow Bend Drive, Ste 100, Willow Park, TX 76087 | 2020-04-24 |
| 1265072680 | Thrive Behavior Centers LLC | Behavioral Analyst | 161 Jd Towles Dr, Willow Park, TX 76087 | 2020-01-14 |
| 1467004192 | Dentists of Hudson Oaks and Orthodontics, PC | Dentist | 100 Hudson Oaks Drive, Suite 126, Hudson Oaks, TX 76087 | 2019-07-12 |
| 1184180846 | James E Sorensen | Chiropractor | 5177 Interstate-20 Frontage Rd., Suite 122, Willow Park, TX 76087 | 2019-02-18 |
| 1194298380 | H-e-b, Lp | Clinical Medical Laboratory | 100 Hudson Oaks Dr., Hudson Oaks, TX 76087 | 2019-01-10 |
| 1952886053 | Shannon Grace Howard | Speech-Language Pathologist | 300 Crown Pointe Blvd, Willow Park, Willow Park, TX 76087 | 2018-09-25 |
| 1831604073 | Tom Annunziato, Od PC | Optometrist | 225 Shops Blvd, Suite 102, Willow Park, TX 76087 | 2017-12-11 |
| 1457873309 | Julia Diane Sims | Music Therapist | 107 Manor Ct. N., Willow Park, TX 76087 | 2017-07-12 |
| 1255851770 | Zee Smile Dental Inc | Clinic/Center | 5189 E Interstate 20 Service Rd S, 102, Willow Park, TX 76087 | 2017-06-26 |
| 1336675743 | Diana Hamilton | Psychologist | 4971 East Interstate Service Road North, Willow Park, TX 76087 | 2017-05-04 |
| Find all providers in zip 76087 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962888149 | Kovach Oral Surgery, Pllc | Dentist | 4969 E Interstate 20 Service Rd N, Willow Park, TX 76087-3220 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW PARK |
| Zip Code | 76087 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.