Provider Demographics
NPI:1801448832
Name:LOVETT, REECIA (RDH)
Entity type:Individual
Prefix:MRS
First Name:REECIA
Middle Name:
Last Name:LOVETT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 LITTON RD
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-3243
Mailing Address - Country:US
Mailing Address - Phone:423-569-3203
Mailing Address - Fax:
Practice Address - Street 1:610 LITTON RD
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-3243
Practice Address - Country:US
Practice Address - Phone:423-569-3203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDH3858124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist