Christian Loetscher, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN010907 Issued in GA

Practice address

4205 N Point Pkwy Ste F
Alpharetta, GA 30022-8808

Phone

(770) 664-5550

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlanta Oral & Maxillofacial Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Norcross, GA
  • NPI 1619019874
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1720107105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 N POINT PKWY STE F",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228808",
            "telephone_number": "770-664-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 N POINT PKWY STE F",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228808",
            "telephone_number": "770-664-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 Roswell Rd Ste D229",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284045",
            "country_code": "US",
            "telephone_number": "678-701-6753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Town Blvd NE Ste Q360",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303197206",
            "country_code": "US",
            "telephone_number": "770-799-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOETSCHER",
        "first_name": "CHRISTIAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "DN010907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN010907",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shena Locke
• Thomas J. Locke III, MD
• Dana Lynn Lockhart, M.A., MSC., LPC
• Kristy Lockhart, CPNP
• Kristen Kimberly Loechel, MS, RD, LD, CDE
• Emily Loftus, DC
• Katrina L Lokken, PSY.D.
• Zach Lombardo, P.T DPT
• Maria Fernanda Londono, LCSW
• Long H. Le, M.D.,P.C.

• Oral & Maxillofacial Surgery (D.M.D.) in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.