DR. LOGAN COLLINS BANNER D.D.S. NPI 1740577592

NPI Information

  • NPI: 1740577592
  • Provider Name: DR. LOGAN COLLINS BANNER, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 2120 BERT KOUNS INDUSTRIAL LOOP STE D
    SHREVEPORT, LA
    ZIP 71118
  • Phone: (318) 687-9800

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NPI Details

DR. Logan Collins Banner, D.D.S. is an oral and maxillofacial surgery dentist in Shreveport, LA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Logan Collins Banner, D.D.S. NPI is 1740577592. 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:

2120 BERT KOUNS INDUSTRIAL LOOP STE D
SHREVEPORT, LA
ZIP 71118-351
Phone: (318) 687-9800

The enumeration date for this NPI number is 6/30/2011 and was last updated on 7/28/2024.

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
1122300000XDentistDE60226297WASHINGTONNo
21223S0112XDentistOral and Maxillofacial Surgery32707TEXASNo
31223S0112XDentistOral and Maxillofacial Surgery7046LOUISIANAYes

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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