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Dr. Jon Laurence Logullo, DMD
General Practice Dentistry in Greenville, Illinois
NPI 1801015375

Jon Laurence Logullo is a General Practice Dentistry based in Greenville, IL and is specialized in General Practice. Jon Laurence Logullo practices in Greenville, IL and has the professional credentials of DMD. The NPI Number for Jon Laurence Logullo is 1801015375 and holds a License No. (Illinois).

The current practice location address for Jon Laurence Logullo is 411 W College Ave, Greenville, IL and can be reached out via phone at 618-664-2236 and via fax at 618-664-0386.

Location: 411 W College Ave, Greenville, IL, 62246-6224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801015375
Provider Name
Jon Laurence Logullo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
411 W College Ave, Greenville, IL, 62246-6224
Phone Number
618-664-2236
Fax Number
618-664-0386
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 W College Ave
City
Greenville
State
Illinois
Zip
62246-1020
Phone Number
618-664-2236
Fax Number
618-664-0386
person
Provider Business Mailing Address Details
Address
411 W College Ave
City
Greenville
State
Illinois
Zip
62246-1020
Phone Number
618-664-2236
Fax Number
618-664-0386
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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