Organization
LOFTUS DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J LOFTUS D.D.S. (DENTIST)
(605) 341-4521
Entity
Organization
Contact information
Practice address
4004 JACKSON BLVD, RAPID CITY, SD 57702-3248
(605) 341-4521
(605) 341-9750
Mailing address
4004 JACKSON BLVD, RAPID CITY, SD 57702-3248
(605) 341-4521
(605) 341-9750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M504
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801610
—
SD
Enumeration date
12/06/2006
Last updated
08/22/2020
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