George J Loftus III, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3019 Issued in ID

Legal business name

GEORGE J LOFTUS III, DDS, LLC

Practice address

2615 N Fruitland LN
Coeur D Alene, ID 83815-7914

Phone

(208) 765-3301

Fax

(208) 765-9282

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

George J Loftus III, DDS

Title

Ower/Dentist

Phone

(208) 765-3301

Specialties & licenses 1

Addresses

Other names 1

• Loftus Family Dental Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Loftus Family Dental - Sandpoint PLLC

  • General Practice Dentistry
  • Sandpoint, ID
  • NPI 1497148860
  NPPES parent name

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1811268121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N FRUITLAND LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157914",
            "telephone_number": "208-765-3301",
            "fax_number": "208-765-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N FRUITLAND LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157914",
            "telephone_number": "208-765-3301",
            "fax_number": "208-765-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J LOFTUS III, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWER/DENTIST",
        "authorized_official_telephone_number": "208-765-3301",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loftus Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geffrey W. Thompson
• Electra Geiger
• Generations Dental PLLC
• Genesis Associates, Inc.
• Melissa L Genovese, OTR/L
• Michael Georgescu
• Cathleen Marie Gephart, PT, OCS
• Emily Elise Geranen, DPT
• Richard J Gerhard, CRNA
• Dawn Rachelle Gertson, M.D.

• All providers in Coeur D Alene, ID
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.