Provider Demographics
NPI:1447334461
Name:LOVELL, JAMES H (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:LOVELL
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 UPPER MAIN ST
Mailing Address - Street 2:PO BOX 675
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069-2083
Mailing Address - Country:US
Mailing Address - Phone:860-364-5006
Mailing Address - Fax:860-364-1277
Practice Address - Street 1:22 UPPER MAIN ST
Practice Address - Street 2:BOX 675
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-2083
Practice Address - Country:US
Practice Address - Phone:860-364-5006
Practice Address - Fax:860-364-1277
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT46541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics