Provider Demographics
NPI:1447339858
Name:TONYA A. LOVING, DDS, PLLC
Entity type:Organization
Organization Name:TONYA A. LOVING, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOVING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-392-4222
Mailing Address - Street 1:6415 E LAKE SAMMAMISH PKWY SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-8930
Mailing Address - Country:US
Mailing Address - Phone:425-392-4222
Mailing Address - Fax:
Practice Address - Street 1:6415 E LAKE SAMMAMISH PKWY SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-8930
Practice Address - Country:US
Practice Address - Phone:425-392-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE74711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty