Lisa L. Loftis, D.D.S., P.A.

LBN: Lisa L. Loftis, D.D.S., P.A.
Lisa L. Loftis, D.D.S., P.A. is an health care organization with primary practice located at 306 S Ash St , Malvern AR 72104-3918. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Lisa L. Loftis, D.D.S., P.A. can be contacted via phone (501) 332-4979, or through Loftis, Lisa Lynn via phone (501) 332-4979.

Contact Information

Primary practice address
306 S Ash St Malvern AR 72104-3918
Phone: (501) 332-4979
Fax: (501) 337-7097
Website:
Map and Directions
Authorized official contact:
Name: Loftis, Lisa Lynn Doctor of Dental Surgery (DDS)
Phone: (501) 332-4979

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 2905 Arkansas

Profile Details

NPI number 1558452409
LBN Legal business name Lisa L. Loftis, D.D.S., P.A.
DBA Doing business as
Authorized official Loftis, Lisa Lynn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558452409 NPPES
Other 03090017900 QUAL CHOICE
Other 58744 QUAL CHOICE
Other 831360 QUAL CHOICE

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