Provider Demographics
NPI:1417514910
Name:JENNIFER A. LOVELAND DMD II PLLC
Entity Type:Organization
Organization Name:JENNIFER A. LOVELAND DMD II PLLC
Other - Org Name:LOVELAND DENTAL GROUP OF HIGH POINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:764-998-1835
Mailing Address - Street 1:1007 PHILLIPS AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262
Mailing Address - Country:US
Mailing Address - Phone:336-889-4733
Mailing Address - Fax:336-889-7091
Practice Address - Street 1:1007 PHILLIPS AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262
Practice Address - Country:US
Practice Address - Phone:336-889-4733
Practice Address - Fax:336-889-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty