Provider Demographics
NPI:1689052961
Name:LOVELL ORTRHODONTICS, PC
Entity Type:Organization
Organization Name:LOVELL ORTRHODONTICS, PC
Other - Org Name:BRIGHT DAY ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-880-0965
Mailing Address - Street 1:1849 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5035
Mailing Address - Country:US
Mailing Address - Phone:970-880-0965
Mailing Address - Fax:709-251-8208
Practice Address - Street 1:1849 MAIN AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5035
Practice Address - Country:US
Practice Address - Phone:719-264-0081
Practice Address - Fax:719-264-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty