Provider Demographics
NPI:1023431392
Name:LOVEJOY, ANN (RDH)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W OCONNOR AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3636
Mailing Address - Country:US
Mailing Address - Phone:419-224-8000
Mailing Address - Fax:
Practice Address - Street 1:2338 N WEST ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2051
Practice Address - Country:US
Practice Address - Phone:419-224-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDH9132124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist