DR. MATTHEW L. LOGAN (NPI# 1861409716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861409716 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW L. LOGAN |
| Credential | D.D.S. |
| Practice Address |
170 Wamplers Lake Rd Brooklyn MI 49230-9585 |
| Practice Telephone | 5175923857 |
| Practice Fax Number | 5175925787 |
| Mailing Telephone | 5175923857 |
| Mailing Fax Number | 5175925787 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14195 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255799987 | Matthew Logan | Counselor | 702 Sunset Dr, Ontario, OR 97914-3121 | 2016-02-09 |
| 1033213228 | Matthew James Logan | Family Medicine | 270 Main St N, Ste 300, Stillwater, MN 55082-6788 | 2006-09-11 |
| 1902868078 | Matthew Tolbert Logan | Emergency Medicine | 1325 Spring St, Self Regional Healthcare, Dept. of Emergency Medicine, Greenwood, SC 29646-3860 | 2006-04-04 |
| Street Address |
170 WAMPLERS LAKE RD |
| City | BROOKLYN |
| State | MI |
| Zip Code | 49230-9585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073733358 | Troy D. Burk | Chiropractor | 453 Marshall St., Brooklyn, MI 49230 | 2007-04-27 |
| 1104941061 | All Care Inc. | Home Health | 11401 M-50, Brooklyn, MI 49230 | 2007-03-20 |
| 1518056365 | Lj Gallagher Psy D and Associates Pllc | Psychologist | 451 Marshall St, Brooklyn, MI 49230 | 2006-10-12 |
| 1750304291 | Traci Breniser Wilson | Psychologist | 225 South Main St, Suite B, Brooklyn, MI 49230 | 2006-07-25 |
| 1700806064 | Guy Young Cheng | Chiropractor | 101 Sherman St, Brooklyn, MI 49230 | 2006-07-20 |
| 1710317193 | Michelle Mcbean | Counselor | 141 N. Main St., Suite B., Brooklyn, MI 49230 | 2013-11-20 |
| 1619155058 | Leonard Joseph Gallagher II | Psychologist | 451 Marshall St, Brooklyn, MI 49230 | 2008-02-07 |
| 1821189648 | Susan Gruber | Physical Therapist | 250 S Main St, Brooklyn, MI 49230 | 2006-09-27 |
| 1871508309 | Region II Commission On Services To The Aging | Case Management | 102 N. Main St., Brooklyn, MI 49230-0189 | 2006-07-31 |
| 1437244019 | Steven Ray Hoekman | Dentist | 120 Marshall St, Box 657, Brooklyn, MI 49230-1234 | 2006-10-03 |
| Find all providers in zip 49230 | ||||
| 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 |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on DR. MATTHEW L. LOGAN.
| 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.