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Organization
LOFTUS FAMILY DENTAL - SANDPOINT PLLC
Active
Organization
LOFTUS FAMILY DENTAL - SANDPOINT PLLC
Active
Parent organization
GEORGE J LOFTUS III, DDS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGE J LOFTUS III, DDS, LLC
Authorized official
DR. GEORGE JOSEPH LOFTUS III DDS (OWNER/DENTIST)
(208) 765-3301
Entity
Organization
Contact information
Practice address
1310 PONDEROSA DRIVE, SUITE A, SANDPOINT, ID 83864
(208) 263-7641
(208) 265-4333
Mailing address
2615 N FRUITLAND LANE, COEUR D ALENE, ID 83815
(208) 765-3301
(208) 765-9282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28512
—
ID
Enumeration date
03/10/2015
Last updated
07/28/2020
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