Dawson Loschen, DMD
Individual provider Active NPI Dentist · Gainesville, MO
NPI 1841812369 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1841812369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2020020293 (MO)
- Practice address
- 87 Elm Street
Gainesville, MO 65655 - Phone
- (417) 679-2775
- NPI assigned
- May 7, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020015940 | MO | MD | Dentist |
| 2020020293 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Public Health Services Group, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2020015940 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 2020020293 | MO | Yes |
Addresses
Primary practice location
87 Elm Street
Gainesville, MO 65655
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 679-2775
Other providers in Gainesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.