Provider Demographics
NPI:1104546522
Name:LOVETT, ERIKA SANDERS (DMD)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:SANDERS
Last Name:LOVETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:NICOLE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:4623 FORT HENRY DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-2616
Mailing Address - Country:US
Mailing Address - Phone:423-239-7899
Mailing Address - Fax:
Practice Address - Street 1:4623 FORT HENRY DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-2616
Practice Address - Country:US
Practice Address - Phone:423-239-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN119051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice