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Contact Information

NORTH LOGAN PDC PLLC
1445 N 400 E STE 3A
LOGAN, UT84341-7564
 Phone: 435-752-1699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for NORTH LOGAN PDC PLLC

NPI Number 1649837337
LBN Legal business name NORTH LOGAN PDC PLLC
Authorized official JACOB WARNER - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2019
Last updated 05/29/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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