| Lovell Family Dentistry, Pc | |
|
5717 Churchland Blvd Portsmouth VA 23703-3308 | |
| (757) 484-1675 | |
| (757) 686-8902 |
| Full Name | Lovell Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5717 Churchland Blvd, Portsmouth, Virginia |
| Authorized Official Name and Position | Eric Brandon Lovell (DENTIST) |
| Authorized Official Contact | 7574841675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovell Family Dentistry, Pc 5717 Churchland Blvd Portsmouth VA 23703-3308 Ph: (757) 484-1675 | Lovell Family Dentistry, Pc 5717 Churchland Blvd Portsmouth VA 23703-3308 Ph: (757) 484-1675 |
| NPI Number | 1265777197 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265777197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411496 (Virginia) | Primary |
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