Provider Demographics
NPI:1871707505
Name:LOVASIK, VERNON ANDREW (DMD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:ANDREW
Last Name:LOVASIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 BEAVER GRADE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2638
Mailing Address - Country:US
Mailing Address - Phone:412-262-3352
Mailing Address - Fax:412-262-3353
Practice Address - Street 1:850 BEAVER GRADE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2638
Practice Address - Country:US
Practice Address - Phone:412-262-3352
Practice Address - Fax:412-262-3353
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 027948L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice