DR. LOGAN CONRAD SMITH (NPI# 1821401068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821401068 |
| Entity Type | Individual |
| Full Name | DR. LOGAN CONRAD SMITH |
| Credential | DDS |
| Practice Address |
2340 Marwood Dr Waterford MI 48328-1633 |
| Practice Telephone | 2489332389 |
| Mailing Telephone | 2489332389 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901021197 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372535 | Logan Smith | Chiropractor | 241 N Buffalo Dr Ste 100, Las Vegas, NV 89145-0307 | 2017-08-21 |
| 1407840010 | Logan Michael Smith | Dentist | 5220 Neil Rd Ste 200, Reno, NV 89502-6536 | 2005-09-09 |
| 1689299091 | Logan C Smith | Registered Nurse | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2020-06-11 |
| 1497315196 | Logan M Smith | Physical Therapist | 1775 Alysheba Way Ste 10, Lexington, KY 40509-2479 | 2019-06-17 |
| 1235799024 | Logan Michael Smith | Student in an Organized Health Care Education/Training Program | 6400 Fannin St, 18th Floor, Houston, TX 77030-5389 | 2019-06-14 |
| 1841793809 | Logan Wheeler Smith | Physical Therapist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-03-15 |
| 1467975441 | Logan Garrett Smith | Registered Nurse | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2017-07-20 |
| 1770964157 | Logan Thomas Smith | Nurse Practitioner | 1258 Bellefontaine St Ste A, Wapakoneta, OH 45895 | 2015-06-11 |
| 1962805432 | Logan Reckord Smith | Physician Assistant | 900 Centennial Blvd, #202, Voorhees, NJ 08043-4637 | 2014-09-29 |
| 1366736456 | Logan Smith | Case Manager/Care Coordinator | 350 City View Dr, Ste 302, Evanston, WY 82930-5327 | 2011-06-06 |
| Street Address |
2340 MARWOOD DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421035 | Anthony Jacob Laszlo | Dentist | 3714 Sashabaw Rd, Waterford, MI 48329-2067 | 2020-06-15 |
| 1386938561 | Amanda Marie Sheehan | Dentist | 4626 W Walton Blvd, Waterford, MI 48329-3535 | 2011-06-05 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1336468941 | Dinesh Nandlal Patel | Dentist | 9271 Peach Street, Waterford, PA 16441 | 2010-05-21 |
| 1316139637 | Mary Ann Harchick | Dentist | 4204 Pontiac Lake Rd, Waterford, MI 48328 | 2007-08-10 |
| 1336359579 | David M Luciw | Dentist | 4914 Highland Rd, Waterford, MI 48328-1142 | 2007-05-23 |
| 1598979676 | Elaine Gantz, D.d.s., P.C. | Dentist | 4005 Highland Rd., Waterford, MI 48328-2134 | 2007-05-09 |
| 1568687531 | Brian E Lentz Dmd PC | Dentist | 850 Cherry Street, Waterford, PA 16441-0817 | 2007-04-16 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| Find all providers in WATERFORD | ||||
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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.