North Logan Pdc Pllc | |
1445 N 400 E Ste 3a Logan UT 84341-7564 | |
(435) 752-1699 | |
Not Available |
Full Name | North Logan Pdc Pllc |
---|---|
Speciality | Dentist |
Location | 1445 N 400 E Ste 3a, Logan, Utah |
Authorized Official Name and Position | Jacob Warner (CREDENTIALING MANAGER) |
Authorized Official Contact | 8016911701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Logan Pdc Pllc Po Box 970184 Orem UT 84097-0309 Ph: (901) 305-3460 | North Logan Pdc Pllc 1445 N 400 E Ste 3a Logan UT 84341-7564 Ph: (435) 752-1699 |
NPI Number | 1649837337 |
---|---|
Provider Enumeration Date | 05/29/2019 |
Last Update Date | 05/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649837337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
News Archive
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› Verified 5 days ago
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Cache Valley Oral & Facial Surgery, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1320 N 600 E, Suite 3, Logan, UT 84341 Phone: 435-752-5681 Fax: 435-752-5744 | |
Dr. Gary Foster Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E 200 N, Logan, UT 84321 Phone: 435-752-0300 | |
Sterling Endodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N Ste G, Logan, UT 84321 Phone: 435-753-7668 | |
Larry T Hogge Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 N 200 E, Logan, UT 84341 Phone: 435-752-4134 Fax: 435-752-1020 | |
M. Andrew Johnson D.d.s. Lc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1153 N Main St, Suite B-150, Logan, UT 84341 Phone: 435-752-2153 | |
Thomson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N 400 E Ste 3, Logan, UT 84341 Phone: 435-752-1320 Fax: 435-750-6432 |