# LOVELAND DENTAL GROUP OF MOORESVILLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JENNIFER A LOVELAND DMD III PLLC DBA
- **Other names:** Loveland Dental Group Mooresville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619435906
- **Legal business name:** JENNIFER A LOVELAND DMD III PLLC DBA
- **Authorized official:** DR. JENNIFER ANN LOVELAND DMD (OWNER)
- **Authorized official phone:** (704) 997-1835

## Contact information

- **Practice address:** 134 N. MAGNOLIA STREET, MOORESVILLE, NC 28115
- **Practice address phone:** (704) 980-9055
- **Practice address fax:** (980) 444-9196
- **Mailing address:** 134 N. MAGNOLIA STREET, MOORESVILLE, NC 28115
- **Mailing address phone:** (704) 980-9055
- **Mailing address fax:** (980) 444-9196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 10/23/2019
