Individual
TYMAN LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
16 HAMPTON VILLAGE PLZ STE 200, SAINT LOUIS, MO 63109-2128
(314) 328-5995
(314) 328-5996
Mailing address
16 HAMPTON VILLAGE PLZ STE 200, SAINT LOUIS, MO 63109-2128
(314) 328-5995
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2014006032
MO
Other
Enumeration date
04/22/2009
Last updated
09/16/2021
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