Provider Demographics
NPI:1902421241
Name:DRS J LOVELAND AND R WALKER I, PLLC
Entity Type:Organization
Organization Name:DRS J LOVELAND AND R WALKER I, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-998-1835
Mailing Address - Street 1:19315 W CATAWBA AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8651
Mailing Address - Country:US
Mailing Address - Phone:704-655-0630
Mailing Address - Fax:
Practice Address - Street 1:2415 PENNY RD STE 203
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8123
Practice Address - Country:US
Practice Address - Phone:336-884-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental