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Organization
JON M. LOVERN DDS PLLC
Active
Organization
JON M. LOVERN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M LOVERN DDS (MANAGER)
(304) 425-9519
Entity
Organization
Contact information
Practice address
120 SOUTH SEVENTH STREET, PRINCETON, WV 24740
(304) 425-9519
(304) 487-5013
Mailing address
120 SOUTH SEVENTH STREET, PRINCETON, WV 24740
(304) 425-9519
(304) 487-5013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV2866
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032613000
—
WV
Enumeration date
03/02/2007
Last updated
08/22/2020
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