Provider Demographics
NPI:1891774907
Name:LOVEQUIST, JOANN MICHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOANN
Middle Name:MICHELLE
Last Name:LOVEQUIST
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 1:5970 N LILLEY RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3625
Mailing Address - Country:US
Mailing Address - Phone:734-981-5455
Mailing Address - Fax:734-981-0370
Practice Address - Street 1:5970 N LILLEY RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3625
Practice Address - Country:US
Practice Address - Phone:734-981-5455
Practice Address - Fax:734-981-0370
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0146701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice