SOPHIE LOGAN DDS MMSC PC NPI 1255179636

NPI Information

  • NPI: 1255179636
  • Provider Name: SOPHIE LOGAN DDS MMSC PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • :
  • Address: 824 MISSION ST
    SANTA CRUZ, CA
    ZIP 95060
  • Phone: (707) 849-3113

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NPI Details

SOPHIE LOGAN DDS MMSC PC is a dental clinic center in Santa Cruz, CA. SOPHIE LOGAN DDS MMSC PC NPI is 1255179636. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

824 MISSION ST
SANTA CRUZ, CA
ZIP 95060-681
Phone: (707) 849-3113

The provider's authorized official is Sophie Logan .
The authorized official title is Orthodontist and has the following contact phone number (831) 531-7660.

The enumeration date for this NPI number is 7/18/2024 and was last updated on 2/7/2025.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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