Provider Demographics
NPI:1043291800
Name:LOVASKO, JOSEPH HENRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HENRY
Last Name:LOVASKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W US HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2656
Mailing Address - Country:US
Mailing Address - Phone:219-322-0501
Mailing Address - Fax:219-322-0577
Practice Address - Street 1:601 W US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2656
Practice Address - Country:US
Practice Address - Phone:219-322-0501
Practice Address - Fax:219-322-0577
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12006616A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000084419OtherBC BS PROVIDER PIN NUMBER
IN476023OtherUNITED CONCORDIA NUMBER
IN000000084418OtherBC BS PROVIDER PIN NUMBER
INU426590Medicare UPIN
IN000000084419OtherBC BS PROVIDER PIN NUMBER