Provider Demographics
NPI:1356481527
Name:LEMELLE LOVE, SHEILA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ANN
Last Name:LEMELLE LOVE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15706 POMERADO RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2067
Mailing Address - Country:US
Mailing Address - Phone:858-674-5954
Mailing Address - Fax:858-487-4281
Practice Address - Street 1:15706 POMERADO RD
Practice Address - Street 2:SUITE 205
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2067
Practice Address - Country:US
Practice Address - Phone:858-674-5954
Practice Address - Fax:858-487-4281
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA380761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice