Provider Demographics
NPI:1366856031
Name:LOVETTE, JOHN B II (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:LOVETTE
Suffix:II
Gender:M
Credentials:DDS
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Mailing Address - Street 1:353 MARKET ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1711
Mailing Address - Country:US
Mailing Address - Phone:814-536-8935
Mailing Address - Fax:814-536-8936
Practice Address - Street 1:353 MARKET ST
Practice Address - Street 2:SUITE 110
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1711
Practice Address - Country:US
Practice Address - Phone:814-536-8935
Practice Address - Fax:814-536-8936
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS019482L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA146105OtherUNITED CONCORDIA
PA0005110840001Medicaid