Matthew L. Logan, D.D.S.

General Practice Dentistry · Brooklyn, MI

Individual Active NPI

NPI number 1861409716

Practice location

170 Wamplers Lake Rd
Brooklyn, MI 49230-9585
Phone
(517) 592-3857
Fax
(517) 592-5787

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NPI record

NPI
1861409716
Entity type
Individual (Type 1)
Enumeration date
August 2, 2006
Last updated
February 10, 2025
Certified
February 10, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901014195 MI
Dentist 122300000X 2901014195 MI

About Dr. Logan

Matthew L. Logan, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 170 Wamplers Lake Rd, Brooklyn, MI 49230-9585. The NPI number 1861409716 was assigned on August 2, 2006 and the record was last updated on February 10, 2025.

Dr. Logan lists 2 licenses in the registry: #2901014195 (MI) for General Practice Dentistry; #2901014195 (MI) 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 Matthew L. Logan, D.D.S.?

The NPI number is 1861409716.

What is the phone number of Dr. Logan?

The phone number listed for the practice location is (517) 592-3857.

Where is Dr. Logan located?

170 Wamplers Lake Rd, Brooklyn, MI 49230-9585.

What is the taxonomy code for Dr. Logan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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