Healthcare Provider Details

I. General information

NPI: 1821766122
Provider Name (Legal Business Name): SOREN LOFTUS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 LAZELLE ST
STURGIS SD
57785-1611
US

IV. Provider business mailing address

866 LAZELLE ST
STURGIS SD
57785-1611
US

V. Phone/Fax

Practice location:
  • Phone: 605-347-8880
  • Fax: 605-347-2011
Mailing address:
  • Phone: 605-347-8880
  • Fax: 605-347-2011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD1426
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: