Provider Demographics
NPI:1811959406
Name:LOEFFERT, MARGARET KATHLEEN (DDS)
Entity type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:KATHLEEN
Last Name:LOEFFERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 CHURCH ST
Mailing Address - Street 2:SUITE 300 WEST
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2788
Mailing Address - Country:US
Mailing Address - Phone:724-349-8380
Mailing Address - Fax:724-349-3702
Practice Address - Street 1:655 CHURCH ST
Practice Address - Street 2:SUITE 300 WEST
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2788
Practice Address - Country:US
Practice Address - Phone:724-349-8380
Practice Address - Fax:724-349-3702
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0353591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019085120006Medicaid
PA0019085120008Medicaid
PA0019085120004Medicaid
PA0019085120011Medicaid
PA0019085120016Medicaid
PA0019085120013Medicaid
PA0019085120015Medicaid
PA0019085120003Medicaid
PA0019085120018Medicaid
PA0019085120007Medicaid
PA0019085120009Medicaid
PA0019085120014Medicaid
PA0019085120017Medicaid