MR. LOGAN WAYNE COFFEE NPI 1164465399

NPI Information

  • NPI: 1164465399
  • Provider Name: MR. LOGAN WAYNE COFFEE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: HIGHWAY 83 SOUTH AND I-40 JUNCTION
    VIAN, OK
    ZIP 74962
  • Phone: (918) 773-6200

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NPI Details

MR. Logan Wayne Coffee is a general practice dentist in Vian, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Logan Wayne Coffee NPI is 1164465399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HIGHWAY 83 SOUTH AND I-40 JUNCTION
VIAN, OK
ZIP 74962
Phone: (918) 773-6200
Fax: (918) 773-6201

The NPI 1164465399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5317OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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