Provider Demographics
NPI:1437276011
Name:LOUSCHER FAMILY DENTISTRY LLC
Entity Type:Organization
Organization Name:LOUSCHER FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOUSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:712-852-2054
Mailing Address - Street 1:3202 1ST ST
Mailing Address - Street 2:PO BOX 72
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536
Mailing Address - Country:US
Mailing Address - Phone:712-852-2054
Mailing Address - Fax:712-852-2729
Practice Address - Street 1:3202 1ST STREET
Practice Address - Street 2:
Practice Address - City:EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536
Practice Address - Country:US
Practice Address - Phone:712-852-2054
Practice Address - Fax:712-852-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty