Bradley Dwight Logie in Fort Sill - Oral And Maxillofacial Surgery
Bradley Dwight Logie - NPI 1073707519
Bradley Dwight Logie is a Oral And Maxillofacial Surgery in Fort Sill, Oklahoma. Bradley Dwight Logie practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bradley Dwight Logie is 1073707519. The last update date is 2019-01-07.
Bradley Dwight Logie's current location address is 2776 Ringgold Road, Fort Sill, Oklahoma. You can contact this provider via phone number 5804423905 and fax number 5804424002. The mailing address for Bradley Dwight Logie is 2776 Ringgold Road, Fort Sill, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dwight Logie |
|---|---|
| Address | 2776 Ringgold Road, Fort Sill, Oklahoma |
| Phone Number | 5804423905 |
| Fax Number | 5804424002 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073707519 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2019-01-07 |
Provider Mailing Address Detail
| Address | 2776 Ringgold Road |
|---|---|
| City | Fort Sill |
| State | Oklahoma (OK) |
| Post Code | 735036300 |
| Phone Number | 5804423905 |
| Fax Number | 5804424002 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | L117008 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identifier code issued to Bradley Dwight Logie by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley Dwight Logie has been assigned the NPI (National Provider Identifier) 1073707519. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Bradley Dwight Logie's facilities are situated?
The facilities of Bradley Dwight Logie are physically located at the following address: 2776 Ringgold Road, Fort Sill, OK, 735036300.
What is Bradley Dwight Logie's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Dwight Logie is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073707519 to Bradley Dwight Logie?
The Centers for Medicare & Medicaid Services originally issued the 1073707519 to Bradley Dwight Logie on 2007-08-28.
As of what date were the Bradley Dwight Logie's details last updated?
The information pertaining to the Bradley Dwight Logie, including its address, specialty, and other details, was most recently updated on 2019-01-07.