Healthcare Provider Details

I. General information

NPI: 1609702869
Provider Name (Legal Business Name): DRS J LOVELAND AND R WALKER VI, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 DAVIS ST
ASHEBORO NC
27203-5469
US

IV. Provider business mailing address

19315 W CATAWBA AVE STE 200
CORNELIUS NC
28031-5636
US

V. Phone/Fax

Practice location:
  • Phone: 336-625-3292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LOVELAND
Title or Position: OWNER
Credential: DMD
Phone: 704-998-1835