Organization
DRS J LOVELAND AND R WALKER IV, LLC
Active
Other names
Loveland Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN LOVELAND DMD (DENTIST, OWNER)
(704) 960-2492
Entity
Organization
Contact information
Practice address
749 STOCKBRIDGE DR, FORT MILL, SC 29708-7200
(704) 960-2492
Mailing address
19315 W CATAWBA AVE STE 104, CORNELIUS, NC 28031-8651
(704) 960-2492
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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