Lee R. Logan, D.D.S., Prof. Corp. in Northridge - Dentist
Lee R. Logan, D.D.S., Prof. Corp. - NPI 1003869769
Lee R. Logan, D.D.S., Prof. Corp. is a Dentist in Northridge, California. Lee R. Logan, D.D.S., Prof. Corp. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lee R. Logan, D.D.S., Prof. Corp. is 1003869769. The last update date is 2020-08-22.
Lee R. Logan, D.D.S., Prof. Corp.'s current location address is 18250 Roscoe Blvd, Northridge, California. You can contact this provider via phone number 8188858650 and fax number 8188857169. The mailing address for Lee R. Logan, D.D.S., Prof. Corp. is 18250 Roscoe Blvd, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lee R. Logan, D.D.S., Prof. Corp. |
|---|---|
| Address | 18250 Roscoe Blvd, Northridge, California |
| Phone Number | 8188858650 |
| Fax Number | 8188857169 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Logan Robert Lee |
| Credentials | D.D.S.,M.S |
| Telephone Number | 8188858650 |
NPI Number Detail
| NPI Number | 1003869769 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 18250 Roscoe Blvd |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913254226 |
| Phone Number | 8188858650 |
| Fax Number | 8188857169 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13848 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Lee R. Logan, D.D.S., Prof. Corp. by the Centers for Medicare & Medicaid Services?
The Lee R. Logan, D.D.S., Prof. Corp. has been assigned the NPI (National Provider Identifier) 1003869769 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lee R. Logan, D.D.S., Prof. Corp.'s facilities are situated?
The facilities of Lee R. Logan, D.D.S., Prof. Corp. are physically located at the following address: 18250 Roscoe Blvd, Northridge, CA, 913254226.
What is Lee R. Logan, D.D.S., Prof. Corp.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Lee R. Logan, D.D.S., Prof. Corp.'s area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003869769 to Lee R. Logan, D.D.S., Prof. Corp.?
The Lee R. Logan, D.D.S., Prof. Corp. received its 1003869769 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the details pertaining to Lee R. Logan, D.D.S., Prof. Corp. last refreshed?
The information related to the Lee R. Logan, D.D.S., Prof. Corp., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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