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LISA L. LOFTIS D.D.S. P.A. NPI 1558452409


NPI Information

NPI: 1558452409
Provider Name: LISA L. LOFTIS, D.D.S., P.A.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
306 S ASH ST
MALVERN, AR
ZIP 72104
Phone: (501) 332-4979
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LISA L. LOFTIS, D.D.S., P.A. is a preferred provider organization in Malvern, AR. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. LISA L. LOFTIS, D.D.S., P.A. NPI is 1558452409. The provider is registered as an organization entity type.

The provider's business location address is:

306 S ASH ST
MALVERN, AR
ZIP 72104-918
Phone: (501) 332-4979
Fax: (501) 337-7097

The provider's authorized official is Lisa Lynn Loftis .
The authorized official title is Owner and has the following contact phone number (501) 332-4979.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization2905ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103090017900OTHERQUAL CHOICE
2831360OTHERUNITED CONCORDIA
358744OTHERBLUECROSS BLUESHIELD FED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.