Logmann Dentistry | |
7141 Indianapolis Blvd Hammond IN 46324-2220 | |
(219) 844-3635 | |
(219) 845-2625 |
Full Name | Logmann Dentistry |
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Speciality | Dentist - General Practice |
Location | 7141 Indianapolis Blvd, Hammond, Indiana |
Authorized Official Name and Position | Matthew Bruce Logmann (DENTIST/CORPORATE PRESIDENT) |
Authorized Official Contact | 2198443635 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Logmann Dentistry 7141 Indianapolis Blvd Hammond IN 46324-2220 Ph: (219) 844-3635 | Logmann Dentistry 7141 Indianapolis Blvd Hammond IN 46324-2220 Ph: (219) 844-3635 |
NPI Number | 1588794168 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 09/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588794168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12007813A (Indiana) | Primary |
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