Dr. Mark P Logan, DMD
Dentist, Periodontics in Longmeadow, Massachusetts
1760426803- Practice location
- 123 Dwight RD, Longmeadow, MA 01106-1748
- Phone
- 413-567-0341
- Fax
- 413-567-7299
- Last updated
- July 8, 2007
Mark P Logan is a Dentist, Periodontics based in Longmeadow, MA. Mark P Logan practices in Longmeadow, MA and has the professional credentials of DMD. The NPI Number for Mark P Logan is 1760426803 and holds a License No. 1550 (MA). The current practice location address for Mark P Logan is 123 Dwight RD, Longmeadow, MA 01106-1748 and can be reached out via phone at 413-567-0341 and via fax at 413-567-7299.
Provider Profile Details
- NPI Number
- 1760426803
- Provider Name
- Mark P Logan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 123 Dwight RD, Longmeadow, MA 01106-1748
- Phone Number
- 413-567-0341
- Fax Number
- 413-567-7299
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 16, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Dwight RD
Longmeadow, MA 01106-1748 - City
- Longmeadow
- State
- Massachusetts
- Zip
- 01106-1748
- Phone Number
- 413-567-0341
- Fax Number
- 413-567-7299
Provider Business Mailing Address Details
- Address
- 123 Dwight RD
Longmeadow, MA 01106-1748 - City
- Longmeadow
- State
- MA
- Zip
- 01106-1748
- Phone Number
- 413-567-0341
- Fax Number
- 413-567-7299
License Information
- License Number
- 1550
- License State
- MA
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mark P Logan, DMD?
The NPI number of Dr. Mark P Logan, DMD is 1760426803. It was assigned on June 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark P Logan, DMD?
Dr. Mark P Logan, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 1550.
Where does Dr. Mark P Logan, DMD practice?
The practice location is 123 Dwight RD, Longmeadow, MA 01106-1748. The office can be reached at 413-567-0341 (phone) or 413-567-7299 (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 1760426803 directly on the NPPES registry website.