Loftin Dental, Pllc | |
1057 W Main St Booneville AR 72927-3403 | |
(479) 675-3521 | |
Not Available |
Full Name | Loftin Dental, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1057 W Main St, Booneville, Arkansas |
Authorized Official Name and Position | Christopher Clayton Loftin (OWNER) |
Authorized Official Contact | 4052039862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Loftin Dental, Pllc 1057 W Main St Booneville AR 72927-3403 Ph: (479) 675-3521 | Loftin Dental, Pllc 1057 W Main St Booneville AR 72927-3403 Ph: (479) 675-3521 |
NPI Number | 1417579038 |
---|---|
Provider Enumeration Date | 05/18/2020 |
Last Update Date | 05/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417579038 | NPI | - | NPPES |
1487934543 | Other | INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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