Provider Demographics
NPI:1952459117
Name:LOVELACE, KENT E (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:E
Last Name:LOVELACE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 S 70TH ST
Mailing Address - Street 2:201
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 S 70TH ST
Practice Address - Street 2:201
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4278
Practice Address - Country:US
Practice Address - Phone:402-483-1101
Practice Address - Fax:402-483-1453
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist