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Logan Oral Surgery
Oral and Maxillofacial Surgery Clinic/Center in North Logan, Utah
NPI 1598024341

Logan Oral Surgery is a Oral and Maxillofacial Surgery Clinic/Center based in North Logan, UT and is specialized in Oral and Maxillofacial Surgery. Logan Oral Surgery practices in North Logan, UT. The NPI Number for Logan Oral Surgery is 1598024341 and holds a License No. 8227102-9924 (Utah).

The current practice location address for Logan Oral Surgery is 3125 N. Main Street, North Logan, UT and can be reached out via phone at 435-754-7130 and via fax at 435-535-2464.

Location: 3125 N. Main Street, North Logan, UT, 84341-1550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598024341
Provider Name
Logan Oral Surgery
Credential
Provider Entity Type
Organization
Address
3125 N. Main Street, North Logan, UT, 84341-1550
Phone Number
435-754-7130
Fax Number
435-535-2464
Provider Enumeration Date
05/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3125 N. Main Street
City
North Logan
State
Utah
Zip
84341-1550
Phone Number
435-754-7130
Fax Number
435-535-2464
person
Provider Business Mailing Address Details
Address
3125 N. Main Street
City
North Logan
State
Utah
Zip
84341-1550
Phone Number
435-754-7130
Fax Number
435-535-2464
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
8227102-9924 (Utah)
Definition
The specialty of dentistry which includes 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.
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