Healthcare Provider Details

I. General information

NPI: 1366182123
Provider Name (Legal Business Name): EGYPT R LOFTIN-SMITH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WASHINGTON ST
PLAINVILLE MA
02762-2641
US

IV. Provider business mailing address

49 DOVER CIR
FRANKLIN MA
02038-1561
US

V. Phone/Fax

Practice location:
  • Phone: 508-695-2064
  • Fax:
Mailing address:
  • Phone: 774-291-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1859508
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: