Khoa Nguyen DMD & Kristen Lovelace DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02126100 Issued in NJ

Legal business name

KHOA NGUYEN DMD & KRISTEN LOVELACE DMD PC

Practice address

1200 Sicklerville Road
Sicklerville, NJ 08081

Phone

(856) 885-8162

Fax

(856) 885-8175

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Lovelace, D.M.D.

Title

Dentist/Co-Owner

Phone

(856) 875-1339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1659660306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SICKLERVILLE ROAD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-885-8162",
            "fax_number": "856-885-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SICKLERVILLE ROAD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-885-8162",
            "fax_number": "856-885-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOA NGUYEN DMD & KRISTEN LOVELACE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DENTIST/CO-OWNER",
        "authorized_official_telephone_number": "856-875-1339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02126100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.