LOGAN WILLIAMS (NPI# 1003439530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003439530 |
| Entity Type | Individual |
| Full Name | LOGAN WILLIAMS |
| Credential | DDS |
| Practice Address |
8435 Station St Mentor OH 44060-4924 |
| Mailing Address |
6151 Cumberland Ct Mentor OH 44060-2448 |
| Practice Telephone | 4402553111 |
| Mailing Telephone | 4193087292 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.026132 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1497118095 | Logan Kai Williams | Obstetrics & Gynecology | 5651 Frist Blvd Ste 500, Hermitage, TN 37076-2059 | 2016-03-31 |
| 1770057358 | Logan Richard Williams | Case Manager/Care Coordinator | 287 Rio Lindo Ave, Chico, CA 95926-1973 | 2019-01-16 |
| 1598230849 | Logan D Williams | Emergency Medical Technician, Basic | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431 | 2018-10-12 |
| 1912487828 | Logan Williams | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-08-20 |
| 1811348048 | Logan Williams | Student in an Organized Health Care Education/Training Program | 86 W Underwood St, Orlando, FL 32806-1110 | 2016-06-29 |
| 1356644819 | Logan Roy Williams | Massage Therapist | 9 E 1st Ave, Selah, WA 98942-1400 | 2010-12-06 |
| Street Address |
8435 STATION ST |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619049913 | Ronald Beech | Dentist | 8435 Station St, Mentor, OH 44060-4924 | 2006-11-14 |
| 1578185484 | Ryan C Polman | Dentist | 8435 Station St, Mentor, OH 44060-4924 | 2020-05-13 |
| 1144602616 | Amanda M Brewer | Dentist | 8435 Station St, Mentor, OH 44060-4924 | 2015-06-22 |
| 1497147219 | Great Lake Dental Arts | Dentist | 8435 Station St, Mentor, OH 44060-4924 | 2015-03-03 |
| 1205066040 | Emily Krupp Zeisler | Dentist | 8435 Station St, Mentor, OH 44060-4924 | 2009-07-14 |
| 1790911105 | Suma Achar | Dentist | 8435 Station St, Mentor, OH 44060-4924 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376781716 | Kala Sagar Madugula | Dentist | 7610 Mentor Ave, Mentor, OH 44060-5411 | 2009-01-22 |
| 1790955532 | Hayat Ali Dds Inc | Dentist | 9853 Johnnycake Ridge Rd, Mentor, OH 44060-6700 | 2008-03-07 |
| 1073729901 | Craig A Nyerges | Dentist | 8827 Mentor Ave, Mentor, OH 44060-6211 | 2007-05-15 |
| 1972717916 | Frank Gus Komar | Dentist | 7708 Lake Shore Blvd, Mentor, OH 44060-3321 | 2007-05-09 |
| 1316150527 | Allcare Dental & Dentures of Ohio - Bates | Dentist | 7697 Mentor Ave, Mentor, OH 44060-5540 | 2007-05-07 |
| 1528180395 | Ronald A Cimaglio | Dentist | 9571 Mentor Ave, Mentor, OH 44060-4521 | 2007-04-04 |
| 1710032347 | Anna B Visger | Dentist | 7553 Center St, Mentor, OH 44060-6001 | 2007-01-24 |
| 1609934918 | Estela Viviana Decastecker | Dentist | 7320 Industrial Park Blvd, Mentor, OH 44060-5318 | 2006-12-05 |
| 1124199781 | Richard Anthony Pryatel | Dentist | 7915 Munson Road, Suite 5, Mentor, OH 44060 | 2006-11-13 |
| 1578640066 | Mentor Dental Arts Ronald L. Micchia Dds, Inc. | Dentist | 9140 Lakeshore Blvd, Mentor, OH 44060 | 2006-11-01 |
| Find all providers in MENTOR | ||||
Please comment or provide details below to improve the information on LOGAN WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.