Organization
STUART LOOS DDD LLC
Active
Organization
STUART LOOS DDD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY J LOOS (MANAGER)
(770) 345-8300
Entity
Organization
Contact information
Practice address
1353 RIVERSTONE PKWY, SUITE 130, CANTON, GA 30114-5634
(770) 345-8300
(770) 345-8305
Mailing address
1353 RIVERSTONE PKWY, SUITE 130, CANTON, GA 30114-5634
(770) 345-8300
(770) 345-8305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10100
GA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up