Tyler Warren Lovelace

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3462-08 Issued in MS

Practice address

1209 Office Park Dr
Oxford, MS 38655-3598

Phone

(662) 816-0677

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tyler Warren Lovelace Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1932357134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 VISTA DEL NORTE APT 537",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168053",
            "telephone_number": "662-816-0677",
            "fax_number": "210-479-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 OFFICE PARK DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553598",
            "telephone_number": "662-816-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "TYLER",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MS",
            "license": "3462-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "LOVELACE",
            "middle_name": "WARREN",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philip R Loria Jr., MD
• Lindsey Lott, DNP
• Gillian Meredith Love, LPC
• Marcus R. Loveberry
• Michael Hogin Lovelace, M.D.
• Taishiana Desiree' Lover, BA
• Brandi Lowe, CPSS
• Ernest B Lowe Jr., M.D.
• Rebecca Lowe
• Kurre Thomas Luber, MD

• Endodontics in Oxford, MS
• Providers in Oxford, MS by specialty
• Endodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.