Loeser, Brandon S

Loeser, Brandon S is an individual health care provider with primary practice located at 3 E Macarthur St , Shawnee OK 74804-2141. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Loeser, Brandon S can be contacted via phone (405) 275-4581.

Contact Information

Primary practice address
3 E Macarthur St Shawnee OK 74804-2141
Phone: (405) 275-4581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6715 Oklahoma

Profile Details

NPI number 1780063966
LBN Legal business name Loeser, Brandon S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2015
Last updated Jul 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780063966 NPPES
Oklahoma MEDICAID 200586280A

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