Keith Logan is a General Practice in Bartlett, Tennessee. Keith Logan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith Logan is 1669528964. The last update date is 2007-07-08.
Keith Logan's current location address is 2772 Bartlett Blvd, Bartlett, Tennessee. You can contact this provider via phone number 9013820581. The mailing address for Keith Logan is 2772 Bartlett Blvd, Bartlett, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Logan |
|---|---|
| Address | 2772 Bartlett Blvd, Bartlett, Tennessee |
| Phone Number | 9013820581 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1669528964 |
|---|---|
| Provider Enumeration Date | 2007-01-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2772 Bartlett Blvd |
|---|---|
| City | Bartlett |
| State | Tennessee (TN) |
| Post Code | 381344530 |
| Phone Number | 9013820581 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS3950 |
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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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What is the unique identifier code issued to Keith Logan by the Centers for Medicare & Medicaid Services?
The Keith Logan has been assigned the NPI (National Provider Identifier) 1669528964. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keith Logan's physical address?
The Keith Logan is physically located at 2772 Bartlett Blvd, in the city of Bartlett, TN, with the postal code 381344530.
What is Keith Logan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith Logan's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Keith Logan receive its 1669528964 assignment from the Centers for Medicare & Medicaid Services?
The Keith Logan was assigned its 1669528964 on 2007-01-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Keith Logan most recently updated or revised?
The details related to Keith Logan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1316940851
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