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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

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

NPI # 1558452409
LBN Legal business name LISA L. LOFTIS, D.D.S., P.A.
Authorized official LISA LOFTIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AR License # 2905
Other 58744 BLUECROSS BLUESHIELD FED
Other 03090017900 QUAL CHOICE
Other 831360 UNITED CONCORDIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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