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 yesterday at 11:37 AM.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