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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 28512 | 05 |
Street Address |
1310 PONDEROSA DRIVE, SUITE A |
City | SANDPOINT |
State | ID |
Zip Code | 83864 |
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 |
Find all providers in zip 83864 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
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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.