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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
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
8411 FM 359 RD S STE E
FULSHEAR, TX
ZIP 77441
Phone: (281) 528-1179
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DR. Logan Collins Banner, D.D.S. is an oral and maxillofacial surgery dentist in Fulshear, TX. 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:

8411 FM 359 RD S STE E
FULSHEAR, TX
ZIP 77441-409
Phone: (281) 528-1179

The enumeration date for this NPI number is 6/30/2011 and was last updated on 12/21/2020.


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 Surgery32707TEXASYes

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: 5/5/2024

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