Provider Demographics
NPI:1346260445
Name:LOVIT, DAVID MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:LOVIT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 FOREST DR
Mailing Address - Street 2:ST. C
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-4934
Mailing Address - Country:US
Mailing Address - Phone:803-787-4900
Mailing Address - Fax:803-787-8150
Practice Address - Street 1:5115 FOREST DR
Practice Address - Street 2:ST. C
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-4934
Practice Address - Country:US
Practice Address - Phone:803-787-4900
Practice Address - Fax:803-787-8150
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZZ2741Medicaid