LOFTUS FAMILY DENTAL - SANDPOINT PLLC


Address: 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864
Phone: 2082637641

LOFTUS FAMILY DENTAL - SANDPOINT PLLC (NPI# 1497148860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497148860
Entity Type Organization
Organization Name LOFTUS FAMILY DENTAL - SANDPOINT PLLC
Practice Address 1310 Ponderosa Drive, Suite A
Sandpoint
ID 83864
Mailing Address 2615 N Fruitland Lane
Coeur D Alene
ID 83815
Practice Telephone 2082637641
Practice Fax Number 2082654333
Mailing Telephone 2087653301
Mailing Fax Number 2087659282
Enumeration Date 2015-03-10
Last Update Date 2020-07-28
Authorized Official Name DR. GEORGE JOSEPH LOFTUS III (OWNER/DENTIST)
Authorized Official Telephone 2087653301
Authorized Official Credential DDS
Is Organization Subpart Y
Parent Organization Name GEORGE J LOFTUS III, DDS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 28512 05

Office Location

Street Address 1310 PONDEROSA DRIVE, SUITE A
City SANDPOINT
State ID
Zip Code 83864

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144842600 Deblaquiere Enterprises, Inc. Pharmacy 1319 Hwy 2, Suite A, Sandpoint, ID 83864 2020-05-07
1245867670 Kimberly Sue Batchelder Massage Therapist Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 2020-03-25
1699309963 Ckam Rejuvenation Center LLC Massage Therapist 1315 Us-2, #5, Sandpoint, ID 83864 2020-02-26
1427602986 Alpine Hand Therapy Inc Physical Medicine & Rehabilitation 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 2019-08-01
1295388536 Momentum Medical Massage and Personal Training, LLC Massage Therapist 1013 W Lake St, Sandpoint, ID 83864 2019-07-16
1629508932 Karen Elizabeth Vollmer-poseley Counselor 506 N. 4th Ave, Sandpoint, ID 83864 2017-06-19
1760912042 Gregory Jon Anthony Prins Dentist 1305 Highway 2 West, Sandpoint, ID 83864 2017-06-19
1730547084 Charity Catlin Midwife 204 N 4th Ave #2355, Sandpoint, ID 83864 2016-02-02
1215365523 Tamarack Treatment and Counseling Center, Pllc Counselor 101 N. Boyer Ave, Sandpoint, ID 83864 2013-10-23
1235565805 Annette C. Hall Social Worker 618 South Division, Sandpoint, ID 83864 2013-09-16
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760912042 Gregory Jon Anthony Prins Dentist 1305 Highway 2 West, Sandpoint, ID 83864 2017-06-19
1851771521 Benjamin D Hull Dentist 1323 Highway 2, Suite 301, Sandpoint, ID 83864-5210 2015-06-08
1083735195 P A Glidden Family Dentistry Pa Dentist 103 Superior St, Sandpoint, ID 83864-1394 2007-04-03
1740329952 Ty C. Corbridge Dentist 1323 Michigan St, Sandpoint, ID 83864-1747 2007-02-05
1851446405 Steven E Anderson Dentist 311 S Division Ave, Sandpoint, ID 83864-2710 2007-01-24
1801959036 James Robert Miller Dentist 1305 Hwy 2 West, Sandpoint, ID 83864-9327 2006-12-19
1023176310 Robert H Harrison Dentist 1575 Ontario St, Sandpoint, ID 83864 2006-12-05
1760576920 Philip William Gervais Dentist 2005 W Pine St, Sandpoint, ID 83864-9324 2006-10-03
1164520540 Ronald W Forsberg Dentist 2005 Pine St, Sandpoint, ID 83864-9327 2006-09-20
1174636807 Phillip Arnold Glidden Dentist 103 W. Superior St, Sandpoint, ID 83864 2006-08-16
Find all providers in SANDPOINT

Competitor

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City SANDPOINT
Zip Code 83864

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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