Individual
DR. JEFFREY DONALD LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
475 26TH ST NE, OWATONNA, MN 55060-1346
(507) 451-5993
(507) 451-5856
Mailing address
475 26TH ST NE, OWATONNA, MN 55060-1346
(507) 451-5993
(507) 451-5856
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11146
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1464183
UNITED CONCORDIA
—
01
—
7499141
AETNA PROV. #
—
01
—
9179850
DORAL DENTAL
MN
Enumeration date
09/25/2006
Last updated
07/09/2007
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