Provider Demographics
NPI:1225566821
Name:LOSCUITO, LINDA JEANETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JEANETTE
Last Name:LOSCUITO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5540 S 79TH EAST PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-7846
Mailing Address - Country:US
Mailing Address - Phone:918-663-0284
Mailing Address - Fax:
Practice Address - Street 1:5540 S 79TH EAST PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-7846
Practice Address - Country:US
Practice Address - Phone:918-663-0284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6927122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist