OrganizationEdward Covert Jr Dds Family & Cosmetic Dentistry(<Unavail>)DentistDental ProvidersPractice Address400 Dolphin Dr, Jacksonville, NC 28546(910) 353-5171PECOS EnrollmentBased on the most recent information from CMS, provider Edward Covert Jr Dds Family & Cosmetic Dentistry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1942359997Provider TypeOrganizationFull NameEdward Covert Jr Dds Family & Cosmetic DentistryOther Name<Unavail>SubpartNoEnumeration Date1/9/2007Last Updated4/8/2025Contact InformationPractice LocationPractice Address400 Dolphin Dr, Jacksonville, NC 28546Phone(910) 353-5171Fax(910) 353-8810Mailing LocationMailing Address400 Dolphin Dr, Jacksonville, NC 28546-5291Phone(910) 353-5171Fax(910) 353-8810Authorized OfficialNameCovert, Edward G (Owner)Phone(910) 353-5171Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted IssuerCode332BC3200XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8990604DescriptionMedicaidIssuerUnlistedNorth CarolinaID5905672DescriptionMedicaidIssuerUnlistedNorth Carolina