Organization Active NPI

Lovelace Family Dentistry, LLC

  • General Practice Dentistry
  • Ponte Vedra, FL
National Provider Identifier
1346985504
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOVELACE FAMILY DENTISTRY, LLC
Practice address
4220 Valley Ridge Blvd Ste 101
Ponte Vedra, FL 32081-5172
Phone
(561) 719-4835
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joshua Richard Lovelace, DMDNPI 1962026393
Title
General Dentist
Phone
(561) 719-4835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4220 Valley Ridge Blvd Ste 101
Ponte Vedra, FL 32081-5172

Mailing address

315 Aspen Leaf Dr
Ponte Vedra, FL 32081-6205
Phone (561) 719-4835

Other names 1

  • Lovelace Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4220 Valley Ridge Blvd
Ste 101
Ponte Vedra, FL 32081
Phone (561) 719-4835

4220 Valley Ridge Blvd
Ste 102
Ponte Vedra Beach, FL 32081
Phone (502) 648-9915

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1346985504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ASPEN LEAF DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816205",
            "telephone_number": "561-719-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 VALLEY RIDGE BLVD STE 101",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815172",
            "telephone_number": "561-719-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "561-719-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovelace Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lovelace Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.