Provider Demographics
NPI:1952307365
Name:LOY, ROBERT E (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:LOY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3470 BLAZER PKWY
Mailing Address - Street 2:STE 110
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1887
Mailing Address - Country:US
Mailing Address - Phone:859-264-9493
Mailing Address - Fax:859-264-8323
Practice Address - Street 1:3470 BLAZER PKWY
Practice Address - Street 2:STE 110
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1887
Practice Address - Country:US
Practice Address - Phone:859-264-9493
Practice Address - Fax:859-264-8323
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2011-12-05
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-20
Provider Licenses
StateLicense IDTaxonomies
KY54841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000352673Medicare UPIN