Provider Demographics
NPI:1699857540
Name:LOVING, TONYA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:TONYA
Middle Name:ANN
Last Name:LOVING
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 1:8407 255TH AVE, NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053
Mailing Address - Country:US
Mailing Address - Phone:425-221-8816
Mailing Address - Fax:425-391-3655
Practice Address - Street 1:900 108TH AVE. NE #102
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-709-7171
Practice Address - Fax:425-391-3655
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE74711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice