Loftin Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14138 Issued in TX

Legal business name

LOFTIN DENTAL, PLLC

Practice address

110 N Almond St
Alice, TX 78332-4814

Phone

(361) 664-8352

Fax

(361) 664-9305

NPI assigned

Jan 23, 2013

Reactivated

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Mishel Marie

Title

Credentialing

Phone

(361) 664-8352

Specialties & licenses 1

Addresses

Other names 1

• Loftin Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Jason Vela, DDS

  • Dentist
  • Houston, TX
  • NPI 1386205136

  General Practice

  NPD

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1306184528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ALMOND ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324814",
            "telephone_number": "361-664-8352",
            "fax_number": "361-664-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ALMOND ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324814",
            "telephone_number": "361-664-8352",
            "fax_number": "361-664-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTIN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "deactivation_date": "2022-06-02",
        "reactivation_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "MARIE",
        "authorized_official_first_name": "MISHEL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "361-664-8352"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loftin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario Lerma, COTA
• Yvette Lerma, FNP
• Liberty Lodge, Inc.
• Jerry Liles, D.O.
• Little Lighthouse Childrens Rehab
• Jennifer Valent Loftin, D.D.S.
• Velma R Longoria, RNFA
• Alejandro Lopez Jr., M.D.
• Darlene Janette Gonzales Lopez, PTA
• Jennifer Lopez, COTA

• General Practice Dentistry in Alice, TX
• Providers in Alice, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.