Individual
MR. JON MICHAEL LOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
07/15/2008
Last updated
07/15/2008
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