Provider Demographics
NPI:1871728295
Name:LOVELESS, LANCE E (DDS)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:E
Last Name:LOVELESS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:SUITE J240
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1416
Mailing Address - Country:US
Mailing Address - Phone:512-347-8299
Mailing Address - Fax:512-347-7197
Practice Address - Street 1:3801 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:SUITE J240
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1416
Practice Address - Country:US
Practice Address - Phone:512-347-8299
Practice Address - Fax:512-347-7197
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19054122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist