Provider Demographics
NPI:1811986938
Name:LOEFFLER, DENNIS CARL (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CARL
Last Name:LOEFFLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:CARL
Other - Last Name:LOEFFLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1300 BADGER ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-1502
Mailing Address - Country:US
Mailing Address - Phone:608-782-2840
Mailing Address - Fax:
Practice Address - Street 1:1300 BADGER ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-1502
Practice Address - Country:US
Practice Address - Phone:608-782-2840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5001364122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist