Edward M. Logan, DDS

Dentist · O Fallon, MO

Individual Active NPI

NPI number 1669670980

Practice location

9016 Phoenix Pkwy
O Fallon, MO 63368-4278
Phone
(636) 561-5445

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NPI record

NPI
1669670980
Entity type
Individual (Type 1)
Enumeration date
July 8, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2002002458 MO

Mailing address

7 Matterhorn Ct
O Fallon, MO 63366-4804

About Dr. Logan

Edward M. Logan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9016 Phoenix Pkwy, O Fallon, MO 63368-4278. The NPI number 1669670980 was assigned on July 8, 2007 and the record was last updated on July 8, 2007.

Dr. Logan lists a license in the registry: #2002002458 (MO) 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 Edward M. Logan, DDS?

The NPI number is 1669670980.

What is the phone number of Dr. Logan?

The phone number listed for the practice location is (636) 561-5445.

Where is Dr. Logan located?

9016 Phoenix Pkwy, O Fallon, MO 63368-4278.

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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