Provider Demographics
NPI:1427396787
Name:LOVELADY, FRANCES A (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:A
Last Name:LOVELADY
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 1:210 THUNDERBIRD DR
Mailing Address - Street 2:SUITE W
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3927
Mailing Address - Country:US
Mailing Address - Phone:915-833-9597
Mailing Address - Fax:
Practice Address - Street 1:210 THUNDERBIRD DR
Practice Address - Street 2:SUITE W
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3927
Practice Address - Country:US
Practice Address - Phone:915-833-9597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15520122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice