National Provider Identifier Database

LISA L LOFTIS DDS PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

LISA L. LOFTIS, D.D.S., P.A.
306 S ASH ST
MALVERN, AR72104-3918
Phone: 501-332-4979
Fax: 501-337-7097
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for LISA L. LOFTIS, D.D.S., P.A.

NPI Number 1558452409
Legal business name
LBN
LISA L. LOFTIS, D.D.S., P.A.
Authorized official LISA LOFTIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 2905
  • Other: 58744 BLUECROSS BLUESHIELD FED
  • Other: 03090017900 QUAL CHOICE
  • Other: 831360 UNITED CONCORDIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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