Provider Demographics
NPI:1518022847
Name:LOFTIN, ROBERT M (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:LOFTIN
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:2601 OAKCREST AVENUE
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4722
Mailing Address - Country:US
Mailing Address - Phone:336-288-1966
Mailing Address - Fax:336-288-1967
Practice Address - Street 1:2601 OAKCREST AVENUE
Practice Address - Street 2:SUITE D
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4722
Practice Address - Country:US
Practice Address - Phone:336-288-1966
Practice Address - Fax:336-288-1967
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCNC61521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics