Polly Jo Courtney Logan in Stillwater - Dentist
Polly Jo Courtney Logan - NPI 1043221153
Polly Jo Courtney Logan is a Dentist in Stillwater, Minnesota. Polly Jo Courtney Logan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Polly Jo Courtney Logan is 1043221153. The last update date is 2007-07-08.
Polly Jo Courtney Logan's current location address is Po Box 291, Stillwater, Minnesota. You can contact this provider via phone number 6514392600 and fax number 6514392211. The mailing address for Polly Jo Courtney Logan is Po Box 291, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Polly Jo Courtney Logan |
|---|---|
| Address | Po Box 291, Stillwater, Minnesota |
| Phone Number | 6514392600 |
| Fax Number | 6514392211 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1043221153 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 291 |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 55082 |
| Phone Number | 6514392600 |
| Fax Number | 6514392211 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D11950 |
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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 identification code assigned to Polly Jo Courtney Logan by the Centers for Medicare & Medicaid Services?
The Polly Jo Courtney Logan has been issued the NPI (National Provider Identifier) 1043221153. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Polly Jo Courtney Logan?
The Polly Jo Courtney Logan is situated at Po Box 291, in the city of Stillwater, state of MN, with the zip code 55082.
What is Polly Jo Courtney Logan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Polly Jo Courtney Logan is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043221153 to Polly Jo Courtney Logan?
The Centers for Medicare & Medicaid Services originally issued the 1043221153 to Polly Jo Courtney Logan on 2006-08-11.
As of what date were the details pertaining to Polly Jo Courtney Logan last refreshed?
The information related to the Polly Jo Courtney Logan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1194728618
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