Provider Demographics
NPI:1972737351
Name:JOHN J. LOVOI, JR. DDS, PA
Entity Type:Organization
Organization Name:JOHN J. LOVOI, JR. DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL SURGEON/OWNE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JASPER
Authorized Official - Last Name:LOVOI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-334-9000
Mailing Address - Street 1:2450 S SHORE BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2994
Mailing Address - Country:US
Mailing Address - Phone:281-334-9000
Mailing Address - Fax:281-334-9001
Practice Address - Street 1:2450 S SHORE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2994
Practice Address - Country:US
Practice Address - Phone:281-334-9000
Practice Address - Fax:281-334-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198671223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty