| Claire Logan, Dds, Pllc | |
|
996 Top St Flowood MS 39232-9541 | |
| (601) 936-2526 | |
| (601) 936-2426 |
| Full Name | Claire Logan, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 996 Top St, Flowood, Mississippi |
| Authorized Official Name and Position | Claire Logan (OWNER) |
| Authorized Official Contact | 6019362526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Claire Logan, Dds, Pllc 996 Top St Flowood MS 39232-9541 Ph: (601) 936-2526 | Claire Logan, Dds, Pllc 996 Top St Flowood MS 39232-9541 Ph: (601) 936-2526 |
| NPI Number | 1437848066 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437848066 | NPI | - | NPPES |
| 1972662203 | Medicaid | MS | |
| 1912112061 | Medicaid | MS | |
| 1093079147 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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