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LOGAN PDC PLLC NPI 1457801078


NPI Information

NPI: 1457801078
Provider Name: LOGAN PDC PLLC

Doing Business As: PLATINUM DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
167 E 200 N
STE 3
LOGAN, UT
ZIP 84321
Phone: (435) 752-3689
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LOGAN PDC PLLC is a general practice dentist in Logan, UT. 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. LOGAN PDC PLLC NPI is 1457801078. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Platinum Dental Care.

The provider's business location address is:

167 E 200 N
STE 3
LOGAN, UT
ZIP 84321-049
Phone: (435) 752-3689
Fax: (435) 752-8217

The provider's authorized official is Jacob Warner .
The authorized official title is Credentialing Manager and has the following contact phone number (801) 691-1701.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 7/2/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice289803-9923UTAHYes

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: 4/28/2024

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