# LOVELY DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437599735
- **Authorized official:** DR. DAN GARY LOVELY JR. D.D.S. (OWNER)
- **Authorized official phone:** (865) 604-6227

## Contact information

- **Practice address:** 400 N HICKS ST, CLINTON, TN 37716-2970
- **Practice address phone:** (865) 604-6227
- **Mailing address:** 400 N HICKS ST, CLINTON, TN 37716-2970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7792 | TN | Yes |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013