Don Logue in Tahlequah - General Practice

Don Logue - NPI 1790903011

Don Logue is a General Practice in Tahlequah, Oklahoma. Don Logue practices all healthcare services and medical treatments related to General Practice. The NPI Number for Don Logue is 1790903011. The last update date is 2013-11-14.

Don Logue's current location address is 1702 Park Hill Rd, Tahlequah, Oklahoma. You can contact this provider via phone number 9184563082 and fax number 9184563536. The mailing address for Don Logue is 1702 Park Hill Rd, Tahlequah, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Don Logue
Address 1702 Park Hill Rd, Tahlequah, Oklahoma
Phone Number 9184563082
Fax Number 9184563536
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1790903011
Provider Enumeration Date 2007-04-23
Last Updated Date 2013-11-14

Provider Mailing Address Detail

Address 1702 Park Hill Rd
City Tahlequah
State Oklahoma (OK)
Post Code 744645600
Phone Number 9184563082
Fax Number 9184563536

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5234
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100091210A OK --

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FAQs about Don Logue

What is the unique identifier code issued to Don Logue by the Centers for Medicare & Medicaid Services (CMS)?

The Don Logue has been assigned the NPI (National Provider Identifier) 1790903011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Don Logue is physically located?

The Don Logue is situated at the following address: 1702 Park Hill Rd, Tahlequah, OK 744645600.

What is the Don Logue's specialty and taxonomy code?

The Don Logue's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the Don Logue receive its 1790903011?

The Don Logue was issued its 1790903011 on 2007-04-23, which is the date when the organization was assigned this unique identifier.

When was the information related to Don Logue most recently updated or refreshed?

The details pertaining to the Don Logue, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-11-14.

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