Provider Demographics
NPI:1396159984
Name:DOBBERSTEIN, LOVIE DAVA (DDS)
Entity type:Individual
Prefix:
First Name:LOVIE
Middle Name:DAVA
Last Name:DOBBERSTEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 LION PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4721
Mailing Address - Country:US
Mailing Address - Phone:931-388-3384
Mailing Address - Fax:
Practice Address - Street 1:706 LION PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4721
Practice Address - Country:US
Practice Address - Phone:931-388-3384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9859122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist