DR. RONALD WILLIAM LOGAN JR. (NPI# 1487868378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487868378 |
Entity Type | Individual |
Full Name | DR. RONALD WILLIAM LOGAN JR. |
Credential | D.D.S. |
Practice Address |
4622 Country Club Rd Suite 240 Winston Salem NC 27104 |
Practice Telephone | 3367609400 |
Practice Fax Number | 3367600963 |
Mailing Telephone | 3367609400 |
Mailing Fax Number | 3367600963 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
5824 | NC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144481052 | Ronald Joseph Logan | Pharmacist | 508 Fulton St, Pharmacy 119 Va Medical Center, Durham, NC 27705 | 2008-06-23 |
Street Address |
4622 COUNTRY CLUB RD SUITE 240 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891771879 | Bruce Douglas Walley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2005-12-21 |
1669097903 | Drs J Loveland and R Walker II, Pllc | Clinic/Center | 4622 Country Club Rd, Winston Salem, NC 27104-3769 | 2020-06-12 |
1649715525 | Jessica N Bonham | Physician Assistant | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2016-12-30 |
1912373242 | Kyle Taylor Dds Pllc | Dentist | 4622 Country Club Rd, Ste. 280, Winston Salem, NC 27104-3769 | 2015-08-20 |
1427315878 | Novant Medical Group, Inc | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2012-04-23 |
1831402791 | Lindsay Scales Morgan | Physician Assistant | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2010-07-21 |
1184828030 | Samuel Porter Jacks | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2007-06-13 |
1982790846 | Kyle W Taylor | Dentist | 4622 Country Club Rd, Suite 280, Winston Salem, NC 27104-3769 | 2006-10-05 |
1902909328 | Forsyth Cardiac & Vascular Surgeons, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2006-09-07 |
1104802164 | Joel Clarence Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2005-12-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
Find all providers in zip 27104 |
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 |
---|---|---|---|---|
1619591328 | Catherine B. Laws, D.d.s., P.l.l.c. | Dentist | 1309 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2020-05-29 |
1558990457 | Roger Alan Horton | Dentist | 2338 Rosewood Ave, Winston Salem, NC 27103-3639 | 2020-04-03 |
1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
1699213959 | Henry Lee Jackson Jr. | Dentist | 334 E Hanes Mill Rd, Winston Salem, NC 27105-9135 | 2017-02-07 |
1336692060 | Blake Patrick Nelson | Dentist | 3066 Trenwest Dr, Winston Salem, NC 27103-3208 | 2016-07-29 |
1992165963 | Bryana Williams | Dentist | 3210 Silas Creek Pkwy, #4, Winston Salem, NC 27103-3009 | 2016-03-03 |
1104203579 | Koelling & Associates Pllc | Dentist | 5069 University Pkwy, 11, Winston Salem, NC 27106-6083 | 2015-05-05 |
1225444888 | Peterson & Swartz Dds, Pllc | Dentist | 10479 N. Highway 109, Suite 107 B, Winston Salem, NC 27107-9884 | 2014-07-03 |
1487069589 | Meredith Greeson Boyte | Dentist | 3244 Reynolda Road, Winston Salem, NC 27106 | 2014-06-26 |
1972920593 | Abrams,cohen,nagel & Associates PC | Dentist | 3768 Creekshire Ct, Winston Salem, NC 27103-1363 | 2014-03-20 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27104 |
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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.