| Organization Name: | MARVIN D. LOYD, DDS |
| NPI Number: | 1801288014 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARVIN DALE LOYD (OWNER) |
| Mailing Address: | 880 E Gaines St Dermott |
| State: | AR US |
| Postal Code: | 716389609 |
| Phone Number: | 8705382046 |
| Fax Number: | 8705383609 |
| NPI Enumeration Date: | 02/25/2015 |
| NPI Last Update Date: | 02/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 1558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |