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Dr. Logan H. Childers JR., DDS
Pediatric Dentist in Independence, Missouri
NPI 1700851524

Logan H. Childers JR. is a Pediatric Dentist based in Independence, MO and is specialized in Pediatric Dentistry. Logan H. Childers JR. practices in Independence, MO and has the professional credentials of DDS. The NPI Number for Logan H. Childers JR. is 1700851524 and holds a License No. 010648 (Missouri).

The current practice location address for Logan H. Childers JR. is 12600 E 40 Hwy, Independence, MO and can be reached out via phone at 816-478-4202 and via fax at 816-478-8920.

Location: 12600 E 40 Hwy, Independence, MO, 64055-5955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700851524
Provider Name
Logan H. Childers JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12600 E 40 Hwy, Independence, MO, 64055-5955
Phone Number
816-478-4202
Fax Number
816-478-8920
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12600 E 40 Hwy
City
Independence
State
Missouri
Zip
64055-5955
Phone Number
816-478-4202
Fax Number
816-478-8920
person
Provider Business Mailing Address Details
Address
12600 E 40 Hwy
City
Independence
State
Missouri
Zip
64055-5955
Phone Number
816-478-4202
Fax Number
816-478-8920
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
010648 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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