Kenley Loftis D.M.D Pa

LBN: Kenley Loftis D.M.D Pa
Kenley Loftis D.M.D Pa is an health care organization with primary practice located at 1101 B Ave , West Columbia SC 29169-6722. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kenley Loftis D.M.D Pa can be contacted via phone (803) 794-8741, or through Loftis, Kenley Jackson via phone (803) 794-8741.

Contact Information

Primary practice address
1101 B Ave West Columbia SC 29169-6722
Phone: (803) 794-8741
Fax: (803) 794-2149
Website:
Map and Directions
Authorized official contact:
Name: Loftis, Kenley Jackson Doctor of Dental Medicine (DMD)
Phone: (803) 794-8741

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3331 South Carolina

Profile Details

NPI number 1568591469
LBN Legal business name Kenley Loftis D.M.D Pa
DBA Doing business as
Authorized official Loftis, Kenley Jackson Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 23rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568591469 NPPES
South Carolina MEDICAID Z3331

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