Provider Demographics
NPI:1831326412
Name:LOVELESS, LAUREN PLAISANCE (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:PLAISANCE
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ELISE
Other - Last Name:PLAISANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5609 VOL WALKER CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2169
Mailing Address - Country:US
Mailing Address - Phone:512-775-9470
Mailing Address - Fax:
Practice Address - Street 1:5609 VOL WALKER CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-2169
Practice Address - Country:US
Practice Address - Phone:512-775-9470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX247531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice