Provider Demographics
NPI:1609870187
Name:LOAR, JOHN ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
Last Name:LOAR
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 1:606 S SEVEN POINTS DR
Mailing Address - Street 2:STE 2
Mailing Address - City:SEVEN POINTS
Mailing Address - State:TX
Mailing Address - Zip Code:75143-9117
Mailing Address - Country:US
Mailing Address - Phone:903-432-2292
Mailing Address - Fax:
Practice Address - Street 1:606 S SEVEN POINTS DR
Practice Address - Street 2:STE 2
Practice Address - City:SEVEN POINTS
Practice Address - State:TX
Practice Address - Zip Code:75143-9117
Practice Address - Country:US
Practice Address - Phone:903-432-2292
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice