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Logan Wilson, DMD
Pediatric Dentist in Pittsfield, Massachusetts
NPI 1760062061

Logan Wilson is a Pediatric Dentist based in Lanesborough, MA and is specialized in Pediatric Dentistry. Logan Wilson practices in Pittsfield, MA and has the professional credentials of DMD. The NPI Number for Logan Wilson is 1760062061 and holds a License No. DN1859678 (Massachusetts).

The current practice location address for Logan Wilson is 77 Elm St, Pittsfield, MA and can be reached out via phone at 413-442-0122.

Location: 77 Elm St, Pittsfield, MA, 01237-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760062061
Provider Name
Logan Wilson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
77 Elm St, Pittsfield, MA, 01237-9516
Phone Number
413-442-0122
Fax Number
Provider Enumeration Date
04/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
77 Elm St
City
Pittsfield
State
Massachusetts
Zip
01201-6503
Phone Number
413-442-0122
Fax Number
person
Provider Business Mailing Address Details
Address
77 Elm St
City
Pittsfield
State
Massachusetts
Zip
01201-6503
Phone Number
413-442-0122
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN1859678 (Massachusetts)
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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