Dr Charles Clayton Loberg, DDS is a
Dentist - General Practice based in New London, Wisconsin. Dr Charles Clayton Loberg is licensed to practice in Wisconsin (license number 5000793-015) and his current practice location is
201 Wisconsin Street, New London, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 982-5181.
NPI number for Dr Charles Clayton Loberg is 1245364694 and his current mailing address is 201 Wisconsin Street, New London, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245364694.
Healthcare Provider's Profile
Full Name | Dr Charles Clayton Loberg |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 201 Wisconsin Street, New London, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245364694
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Charles Clayton Loberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245364694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5000793-015 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Clayton Loberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Charles Clayton Loberg, DDS 201 Wisconsin Street, New London, WI 54961 Ph: (930) 982-5181 | Dr Charles Clayton Loberg, DDS 201 Wisconsin Street, New London, WI 54961-1171 Ph: (920) 982-5181 |
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