Provider Demographics
NPI:1295078806
Name:LOVE FAMILY DENTISTRY
Entity type:Organization
Organization Name:LOVE FAMILY DENTISTRY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-227-2323
Mailing Address - Street 1:8641 W GRAND RIVER AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-4353
Mailing Address - Country:US
Mailing Address - Phone:810-227-2323
Mailing Address - Fax:810-227-2501
Practice Address - Street 1:8641 W GRAND RIVER AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-4353
Practice Address - Country:US
Practice Address - Phone:810-227-2323
Practice Address - Fax:810-227-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty