Organization
CHITTENANGO DENTAL
Active
Other names
Shamus Loftus DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMUS L LOFTUS DDS (DENTIST PRESIDENT)
(315) 687-3386
Entity
Organization
Contact information
Practice address
153 WEST GENESEE STREET, CHITTENANGO, NY 13037
(315) 687-3386
(315) 687-3387
Mailing address
153 WEST GENESEE STREET, CHITTENANGO, NY 13037
(315) 687-3386
(315) 687-3387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049988
NY
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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