Provider Demographics
NPI:1720170459
Name:LOEFFLER, T CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:T
Middle Name:CARL
Last Name:LOEFFLER
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 1:3555 S. TOWN CENTER DR.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135
Mailing Address - Country:US
Mailing Address - Phone:702-541-7070
Mailing Address - Fax:702-541-7071
Practice Address - Street 1:3555 S. TOWN CENTER DR.
Practice Address - Street 2:SUITE 104
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135
Practice Address - Country:US
Practice Address - Phone:702-541-7070
Practice Address - Fax:702-541-7071
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV53961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics