Provider Demographics
NPI:1033251475
Name:LOESER, JAMES GARRETT (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GARRETT
Last Name:LOESER
Suffix:
Gender:M
Credentials:MD, DDS
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Mailing Address - Street 1:109 N HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2931
Mailing Address - Country:US
Mailing Address - Phone:630-465-5000
Mailing Address - Fax:847-390-0479
Practice Address - Street 1:109 N HAVEN RD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2931
Practice Address - Country:US
Practice Address - Phone:630-465-5000
Practice Address - Fax:847-390-0479
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.121553204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery