MEDICARE: DR. JAMES D LOVELACE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	DE61166255	WA

General Provider Information

NPI Number	:	1568122547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES D LOVELACE DDS

Provider Business Mailing Address
First Line	:	3402 173RD PL NE STE 203
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8497
Country	:	US
Telephone Number	:	425-315-6793
Fax Number	:

Provider Business Practice Location Address
First Line	:	3402 173RD PL NE STE 203
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8497
Country	:	US
Telephone Number	:	425-315-6793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2021
Last Update Date	:	05/27/2026

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