Provider Demographics
NPI:1275682874
Name:DR. THOMAS LOVINGGOOD DDS MS
Entity Type:Organization
Organization Name:DR. THOMAS LOVINGGOOD DDS MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOVINGGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:816-373-2227
Mailing Address - Street 1:3010 S STATE ROUTE 291
Mailing Address - Street 2:SUITE R
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2676
Mailing Address - Country:US
Mailing Address - Phone:816-373-2227
Mailing Address - Fax:816-373-3046
Practice Address - Street 1:3010 S STATE ROUTE 291
Practice Address - Street 2:SUITE R
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2676
Practice Address - Country:US
Practice Address - Phone:816-373-2227
Practice Address - Fax:816-373-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO129181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty