Lovelace Family Dentistry | |
4220 Valley Ridge Blvd Ste 101 Ponte Vedra FL 32081-5172 | |
(561) 719-4835 | |
Not Available |
Full Name | Lovelace Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 4220 Valley Ridge Blvd Ste 101, Ponte Vedra, Florida |
Authorized Official Name and Position | Joshua Richard Lovelace (GENERAL DENTIST) |
Authorized Official Contact | 5617194835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lovelace Family Dentistry 315 Aspen Leaf Dr Ponte Vedra FL 32081-6205 Ph: (561) 719-4835 | Lovelace Family Dentistry 4220 Valley Ridge Blvd Ste 101 Ponte Vedra FL 32081-5172 Ph: (561) 719-4835 |
NPI Number | 1346985504 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 06/06/2022 |
Identifier | Type | State | Issuer |
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1346985504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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