Kelbe Logan, DMD

Dentist · Jackson, MS

Individual Active NPI

NPI number 1407668213

Practice location

2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-5514

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NPI record

NPI
1407668213
Entity type
Individual (Type 1)
Enumeration date
January 21, 2025
Last updated
January 21, 2025
Certified
January 21, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4493-25 MS

Mailing address

761 Rice Rd Apt 319
Ridgeland, MS 39157-1089
Phone
(662) 739-8428

About Dr. Logan

Kelbe Logan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2500 N State St, Jackson, MS 39216-4500. The NPI number 1407668213 was assigned on January 21, 2025 and the record was last updated on January 21, 2025.

Dr. Logan lists a license in the registry: #4493-25 (MS) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelbe Logan, DMD?

The NPI number is 1407668213.

What is the phone number of Dr. Logan?

The phone number listed for the practice location is (601) 815-5514.

Where is Dr. Logan located?

2500 N State St, Jackson, MS 39216-4500.

What is the taxonomy code for Dr. Logan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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