Provider Demographics
NPI:1154430312
Name:LOVING, PRESTON BERNARD (DDS)
Entity type:Individual
Prefix:
First Name:PRESTON
Middle Name:BERNARD
Last Name:LOVING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 THIMBLE SHOALS BLVD
Mailing Address - Street 2:#206
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-873-2299
Mailing Address - Fax:757-873-7767
Practice Address - Street 1:732 THIMBLE SHOALS BLVD
Practice Address - Street 2:STE 206
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606
Practice Address - Country:US
Practice Address - Phone:757-873-2299
Practice Address - Fax:757-873-7767
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010061491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice