MEDICARE: DR. JOHN JASPER LOVOI JR. D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	19867	TX

General Provider Information

NPI Number	:	1659339455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN JASPER LOVOI JR. D.D.S.

Provider Business Mailing Address
First Line	:	2450 S SHORE BLVD
Second Line	:	SUITE 220
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2994
Country	:	US
Telephone Number	:	281-334-9000
Fax Number	:	281-334-9001

Provider Business Practice Location Address
First Line	:	2450 S SHORE BLVD
Second Line	:	SUITE 220
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2994
Country	:	US
Telephone Number	:	281-334-9000
Fax Number	:	281-334-9001

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JOHN JASPER LOVOI JR. D.D.S.” Practice Location

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