Individual
DR. MICHAEL BLAINE LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204B W ARLINGTON BLVD # B, GREENVILLE, NC 27834-5762
(252) 689-2762
(252) 689-2764
Mailing address
PO BOX 13623, CHARLESTON, WV 25360-0623
(304) 437-0655
(252) 689-2764
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11710
NC
1223E0200X
Endodontics
3651
WV
Other
Enumeration date
05/15/2008
Last updated
04/08/2021
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