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Dr. Doug's Pediatric Dentistry P.c.
Pediatric Dentist in Logan, Utah
NPI 1780004267

Dr. Doug's Pediatric Dentistry P.c. is a Pediatric Dentist based in Logan, UT and is specialized in Pediatric Dentistry. Dr. Doug's Pediatric Dentistry P.c. practices in Logan, UT. The NPI Number for Dr. Doug's Pediatric Dentistry P.c. is 1780004267 and holds a License No. 285140-9923 (Utah).

The current practice location address for Dr. Doug's Pediatric Dentistry P.c. is 1300 N 200 E, Logan, UT and can be reached out via phone at 435-232-9721 and via fax at 435-792-3033.

Location: 1300 N 200 E, Logan, UT, 84341-2398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780004267
Provider Name
Dr. Doug's Pediatric Dentistry P.c.
Credential
Provider Entity Type
Organization
Address
1300 N 200 E, Logan, UT, 84341-2398
Phone Number
435-232-9721
Fax Number
435-792-3033
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 N 200 E
City
Logan
State
Utah
Zip
84341-2398
Phone Number
435-232-9721
Fax Number
435-792-3033
person
Provider Business Mailing Address Details
Address
1300 N 200 E
City
Logan
State
Utah
Zip
84341-2398
Phone Number
435-232-9721
Fax Number
435-792-3033
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
285140-9923 (Utah)
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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