Dr. Jessica L Logan, DMD
Dentist in Kinnelon, New Jersey
1255499570- Practice location
- 11 Kiel Ave, Kinnelon, NJ 07405-2549
- Phone
- 973-838-4460
- Fax
- 973-838-6258
- Last updated
- July 8, 2007
Jessica Lee Logan is a Dentist based in Kinnelon, NJ. Jessica Lee Logan practices in Kinnelon, NJ and has the professional credentials of DMD. The NPI Number for Jessica Lee Logan is 1255499570 and holds a License No. DI02262300 (NJ). The current practice location address for Jessica Lee Logan is 11 Kiel Ave, Kinnelon, NJ 07405-2549 and can be reached out via phone at 973-838-4460 and via fax at 973-838-6258.
Provider Profile Details
- NPI Number
- 1255499570
- Provider Name
- Jessica Lee Logan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Kiel Ave, Kinnelon, NJ 07405-2549
- Phone Number
- 973-838-4460
- Fax Number
- 973-838-6258
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Kiel Ave
Kinnelon, NJ 07405-2549 - City
- Kinnelon
- State
- New Jersey
- Zip
- 07405-2549
- Phone Number
- 973-838-4460
- Fax Number
- 973-838-6258
Provider Business Mailing Address Details
- Address
- 911 Castle Point Ter
Apt. #2
Hoboken, NJ 07030-5908 - City
- Hoboken
- State
- NJ
- Zip
- 07030-5908
- Phone Number
- 201-618-0623
License Information
- License Number
- DI02262300
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Kinnelon, NJ
View all Dentists in Kinnelon →Frequently Asked Questions
What is the NPI number of Dr. Jessica L Logan, DMD?
The NPI number of Dr. Jessica L Logan, DMD is 1255499570. It was assigned on December 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jessica L Logan, DMD?
Dr. Jessica L Logan, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI02262300.
Where does Dr. Jessica L Logan, DMD practice?
The practice location is 11 Kiel Ave, Kinnelon, NJ 07405-2549. The office can be reached at 973-838-4460 (phone) or 973-838-6258 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255499570 directly on the NPPES registry website.