Provider Demographics
NPI:1427409994
Name:LOVINGER, KATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:LOVINGER
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 1:3040 SW PERGOLA VW
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-8103
Mailing Address - Country:US
Mailing Address - Phone:816-651-9610
Mailing Address - Fax:
Practice Address - Street 1:6299 NALL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3553
Practice Address - Country:US
Practice Address - Phone:913-384-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS611791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice