Provider Demographics
NPI:1366891103
Name:LOVELESS, RICHARD LAVAR (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LAVAR
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 1:600 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ARMOUR
Mailing Address - State:SD
Mailing Address - Zip Code:57313
Mailing Address - Country:US
Mailing Address - Phone:605-570-5444
Mailing Address - Fax:
Practice Address - Street 1:600 MAIN AVE
Practice Address - Street 2:
Practice Address - City:ARMOUR
Practice Address - State:SD
Practice Address - Zip Code:57313
Practice Address - Country:US
Practice Address - Phone:605-570-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDD12901223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice