| Logan Family Dental | |
|
298 Lincoln St Sw Concord NC 28025-5469 | |
| (704) 792-2313 | |
| Not Available |
| Full Name | Logan Family Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 298 Lincoln St Sw, Concord, North Carolina |
| Authorized Official Name and Position | Don Holloman (CEO) |
| Authorized Official Contact | 7047922203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Family Dental 298 Lincoln St Sw Concord NC 28025-5469 Ph: (704) 792-2313 | Logan Family Dental 298 Lincoln St Sw Concord NC 28025-5469 Ph: (704) 792-2313 |
| NPI Number | 1194358770 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194358770 | NPI | - | NPPES |
| 344534A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Renda L Welch Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 South Union St, Concord, NC 28025 Phone: 704-786-9123 | |
Oasis Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8440 Pit Stop Ct Nw, Suite A&b, Concord, NC 28027 Phone: 704-548-2700 Fax: 704-548-2767 | |
Michael O. Reimels Dds Pa Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3099 Rock Hill Church Rd, Concord, NC 28027 Phone: 704-782-2630 | |
Ankit M Amin Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 George W Liles Pkwy Nw Ste 10, Concord, NC 28027 Phone: 704-359-7365 | |
Gregory P Bialek Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Exchange St Nw, Suite 101, Concord, NC 28027 Phone: 704-788-1717 Fax: 704-788-1752 | |
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