Dr. Jeffrey Loberg
Endodontist Dentist - General Practice
301 Fisher St
Keesler Afb
, Mississippi 39534-2508
Dr. Jeffrey Loberg
Endodontist Dentist - General Practice
301 Fisher St
Keesler Afb
, Mississippi 39534-2508
(228) 376-0511
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About
Features
Specialties
- Endodontist
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Loberg
- 301 Fisher St
- Keesler Afb, MS
- Zip : 39534-2508
- Phone : (228) 376-0511
Second Address
- Dr. Jeffrey Loberg
- 301 Fisher St
- Keesler Afb, MS
- Zip : 39534-2508
- Phone : (228) 376-0511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223E0200X | Endodontist | 019029151 | IL |
| Y | 1223G0001X | General Practice | 019029151 | IL |
| Y | 213EG0000X | General Practice | 019029151 | IL |
National Provider Identifier
| NPI | 1033468269 |
|---|---|
| Provider Name | Dr. Jeffrey Loberg |
| First Address | Keesler Afb, MS 39534-2508 |
| Second Address | Keesler Afb, MS 39534-2508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2012 |
| Last Update Date | 19/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.