Provider Demographics
NPI:1043539240
Name:LOIDA, PHILIP FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:FRANCIS
Last Name:LOIDA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 ROZIER ST
Mailing Address - Street 2:
Mailing Address - City:STE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-1807
Mailing Address - Country:US
Mailing Address - Phone:573-883-2300
Mailing Address - Fax:
Practice Address - Street 1:690 ROZIER ST
Practice Address - Street 2:
Practice Address - City:STE GENEVIEVE
Practice Address - State:MO
Practice Address - Zip Code:63670-1807
Practice Address - Country:US
Practice Address - Phone:573-883-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010016142122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist