Logan Pdc Pllc is a Dental Clinic in Logan, Utah. It is located at 167 E 200 N, Ste 3, Logan, UT and its contact number is 435-752-3689. The authorized person for Logan Pdc Pllc is Jacob Warner
who is Credentialing Manager of the clinic and their contact number is 801-691-1701. The primary license number for Logan Pdc Pllc is 289803-9923 (General Practice) in Utah. Logan Pdc Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Logan Pdc Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Logan Pdc Pllc
Specialization:
General Practice Dentistry
Clinic Address:
167 E 200 N, Ste 3, Logan, Utah, 84321-4049
Phone:
435-752-3689
Fax:
435-752-8217
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jacob Warner
Position:
Credentialing Manager
Contact Number:
801-691-1701
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Logan Pdc Pllc clinic are as mentioned below.
NPI Number:
1457801078
NPI Enumeration Date:
06 Oct, 2016
NPI Last Update On:
02 Jul, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Logan Pdc Pllc are as mentioned below.
Specialization
License Number
State
Status
General Practice
289803-9923
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Logan Pdc Pllc Po Box 970924, Orem, Utah
Zip:
84097-0924
Phone Number:
801-691-1701
Fax Number:
801-335-6551
Patients can reach Logan Pdc Pllc at 167 E 200 N, Ste 3, Logan, Utah or can call to book an appointment on 435-752-3689. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.