Mark P Logan is a Periodontics in Longmeadow, Massachusetts. Mark P Logan practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark P Logan is 1760426803. The last update date is 2007-07-08.
Mark P Logan's current location address is 123 Dwight Rd, Longmeadow, Massachusetts. You can contact this provider via phone number 4135670341 and fax number 4135677299. The mailing address for Mark P Logan is 123 Dwight Rd, Longmeadow, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark P Logan |
|---|---|
| Address | 123 Dwight Rd, Longmeadow, Massachusetts |
| Phone Number | 4135670341 |
| Fax Number | 4135677299 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1760426803 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 123 Dwight Rd |
|---|---|
| City | Longmeadow |
| State | Massachusetts (MA) |
| Post Code | 11061748 |
| Phone Number | 4135670341 |
| Fax Number | 4135677299 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1550 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Mark P Logan by the Centers for Medicare & Medicaid Services?
The Mark P Logan has been assigned the NPI (National Provider Identifier) 1760426803 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mark P Logan located?
The Mark P Logan is located at 123 Dwight Rd, Longmeadow, MA 11061748.
What is Mark P Logan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark P Logan's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760426803 to Mark P Logan?
The Centers for Medicare & Medicaid Services originally issued the 1760426803 to Mark P Logan on 2006-06-16.
When was the information pertaining to Mark P Logan most recently updated or revised?
The details related to Mark P Logan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1215930425
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