| Logan C Smith Dds Pllc | |
|
7706 Georgetown Center Dr Ste A Jenison MI 49428-7145 | |
| (616) 855-0005 | |
| (616) 855-0048 |
| Full Name | Logan C Smith Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7706 Georgetown Center Dr Ste A, Jenison, Michigan |
| Authorized Official Name and Position | Logan Conrad Smith (OWNER DENTIST) |
| Authorized Official Contact | 6168550005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan C Smith Dds Pllc 7706 Georgetown Center Dr Ste A Jenison MI 49428-7145 Ph: (616) 855-0005 | Logan C Smith Dds Pllc 7706 Georgetown Center Dr Ste A Jenison MI 49428-7145 Ph: (616) 855-0005 |
| NPI Number | 1649803388 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649803388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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