Individual
DR. DAN G LOVELY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
323 FOX RD, 200, KNOXVILLE, TN 37922-3383
(865) 690-5231
Mailing address
323 FOX RD, 200, KNOXVILLE, TN 37922-3383
(865) 690-5231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7792
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9178323
TENN-CARE DORAL
TN
Enumeration date
05/07/2007
Last updated
07/08/2007
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