Loftus Family Dental - Sandpoint Pllc

LBN: Loftus Family Dental - Sandpoint Pllc
Loftus Family Dental - Sandpoint Pllc is an health care organization with primary practice located at 1310 Ponderosa Drive, Suite A , Sandpoint ID 83864. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Loftus Family Dental - Sandpoint Pllc can be contacted via phone (208) 263-7641, or through Loftus, George Joseph via phone (208) 765-3301.

Contact Information

Primary practice address
1310 Ponderosa Drive, Suite A Sandpoint ID 83864
Phone: (208) 263-7641
Fax: (208) 265-4333
Website:
Map and Directions
Authorized official contact:
Name: Loftus, George Joseph Doctor of Dental Surgery (DDS)
Phone: (208) 765-3301

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1497148860
LBN Legal business name Loftus Family Dental - Sandpoint Pllc
DBA Doing business as
Authorized official Loftus, George Joseph Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2015
Last updated Jul 28th, 2020 - about 6 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 1497148860 NPPES
Idaho MEDICAID 28512

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