Stuart Loos DDD LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10100 Issued in GA

Legal business name

STUART LOOS DDD LLC

Practice address

1353 Riverstone Pkwy
Suite 130
Canton, GA 30114-5634

Phone

(770) 345-8300

Fax

(770) 345-8305

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sally J Loos

Title

Manager

Phone

(770) 345-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arthur Stuart Loos, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Canton, GA
  • NPI 1912645615
  NPD (past)
• Giselle Sadeghi, DMD

  • Dentist
  • Canton, GA
  • NPI 1730753823
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1295123685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 RIVERSTONE PKWY",
            "address_2": "SUITE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145634",
            "telephone_number": "770-345-8300",
            "fax_number": "770-345-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 RIVERSTONE PKWY",
            "address_2": "SUITE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145634",
            "telephone_number": "770-345-8300",
            "fax_number": "770-345-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART LOOS DDD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "LOOS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-345-8300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stouffer, MSW, LMSW
• Barry Neil Straus, M.D.
• Pamela Lynn Strickland, M.D.
• Strong Faith Medical Supply, LLC
• Derek Struchtemeyer, LPC
• Paola Juliana Suarez, M.D.
• Lavanya Subramanian, M.D.
• Subspecialty Imaging, LLC (Subspecialty Imaging Canton)
• Brent H. Suddeth, CRNA
• Nichole Warrington Sullivan, D.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Canton, GA
• Providers in Canton, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.