MICHAEL P. LOGUE, D.M.D., P.A. (NPI# 1427365204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427365204 |
| Entity Type | Organization |
| Organization Name | MICHAEL P. LOGUE, D.M.D., P.A. |
| Practice Address |
1800 N Federal Hwy Suite 201 Pompano Beach FL 33062-1034 |
| Practice Telephone | 9549412727 |
| Practice Fax Number | 9549411116 |
| Mailing Telephone | 9549412727 |
| Mailing Fax Number | 9549411116 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | DR. MICHAEL P LOGUE (PRESIDENT/ORAL SURGEON) |
| Authorized Official Telephone | 9549412727 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DN12346 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 071462300 | 05 |
| Street Address |
1800 N FEDERAL HWY SUITE 201 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067178 | Charles Teebagy | Pediatrics | 1800 N Federal Hwy, #110, Pompano Beach, FL 33062-1095 | 2005-10-18 |
| 1912407230 | Monica Ferreira | Massage Therapist | 1800 N Federal Hwy, Pompano Beach, FL 33062-1034 | 2018-02-13 |
| 1023460821 | Portner Counseling Group | Counselor | 1800 N Federal Hwy, Suite 206, Pompano Beach, FL 33062-1034 | 2016-07-06 |
| 1437592920 | Michael H Crohn | Chiropractor | 1800 N Federal Hwy, Suite 105, Pompano Beach, FL 33062-1034 | 2013-04-15 |
| 1336582824 | Advanced Chiropractic & Anti-aging Center | Chiropractor | 1800 N Federal Hwy, Suite 105, Pompano Beach, FL 33062-1034 | 2013-04-15 |
| 1689913261 | Drew Moffett Bowyer | Community Health Worker | 1800 N Federal Hwy, Pompano Beach, FL 33062-1034 | 2013-02-02 |
| 1700186137 | William V Jensen Do Pa | Family Medicine | 1800 N Federal Hwy, Suite 104, Pompano Beach, FL 33062-1034 | 2010-11-02 |
| 1093027856 | Dimitrios Lintzeris Do, Pa | Non-Pharmacy Dispensing Site | 1800 N Federal Hwy, Suite 207-8, Pompano Beach, FL 33062-1034 | 2010-07-09 |
| 1609026020 | Lech Nowak | Massage Therapist | 1800 N Federal Hwy, Suite 203, Pompano Beach, FL 33062-1034 | 2008-09-22 |
| 1447426226 | Medical Center of Pompano, Inc. | Family Medicine | 1800 N Federal Hwy, Suite 104, Pompano Beach, FL 33062-1034 | 2008-05-01 |
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|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875968 | Aq Surgery LLC | Clinic/Center | 14050 Integra Dr Apt 1134, Jacksonville, FL 32218-2666 | 2020-06-10 |
| 1568095255 | Broward Oral Surgery Pa | Clinic/Center | 3157 N University Dr Ste 104, Pembroke Pines, FL 33024-2258 | 2020-02-20 |
| 1497221352 | Ac O&m Services LLC | Clinic/Center | 4675 Van Dyke Rd, Lutz, FL 33558-4880 | 2018-10-18 |
| 1326549080 | Dental Designs of Naples LLC | Clinic/Center | 5048 Tamiami Trl N Ste A, Naples, FL 34103-2836 | 2018-02-27 |
| 1407395361 | Barry C Levine Dmd Pa | Clinic/Center | 5212 E Fowler Ave, Temple Terrace, FL 33617-2147 | 2017-02-13 |
| 1760722474 | Oral and Facial Surgery of Florida, Inc. | Clinic/Center | 19051 Us Highway 441, Suite 104, Mount Dora, FL 32757-6708 | 2013-02-18 |
| 1316211196 | Trevisani Oral Surgery | Clinic/Center | 511 Wekiva Commons Cir, Apopka, FL 32712-3645 | 2012-02-27 |
| 1386957744 | Regina H. Saenz, Dds, Pa | Clinic/Center | 950 N Krome Ave Ste 204, Homestead, FL 33030-4455 | 2010-07-14 |
| 1598883043 | Philip Marciano, M.d., P.a. | Clinic/Center | 9975 Tamiami Trl N, #4, Naples, FL 34108-1942 | 2007-03-26 |
| 1073143731 | Swan Oral & Facial Surgery, LLC | Clinic/Center | 407 S Kentucky Ave, Lakeland, FL 33801-5301 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
Please comment or provide details below to improve the information on MICHAEL P. LOGUE, D.M.D., P.A..
| 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.