IndividualActive
Greg Loitz, MD DDS
NPI 1194803247 · Oral & Maxillofacial Surgery (D.M.D.) · La Selva Beach, CA
Provider details
- NPI number
- 1194803247
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- G52694 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
33 Palma Ave
La Selva Beach, CA 95076-1729
Phone: (831) 566-1112
Fax: (833) 233-3943
Approximate (ZIP-level) locationGet directions
Mailing address
33 Palma Ave
La Selva Beach, CA 95076-1729
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.