| Dr Logan Charles Goodrich, DMD | |
|
1234 E Dupont Rd Ste 4, Fort Wayne, IN 46825-1545 | |
| (260) 490-3495 | |
| Not Available |
| Full Name | Dr Logan Charles Goodrich |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1234 E Dupont Rd Ste 4, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225654882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12013386A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Logan Charles Goodrich, DMD 8429 Hunters Knoll Run, Fort Wayne, IN 46825-6406 Ph: (260) 515-8864 | Dr Logan Charles Goodrich, DMD 1234 E Dupont Rd Ste 4, Fort Wayne, IN 46825-1545 Ph: (260) 490-3495 |
Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981 | |
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537 | |
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591 | |
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 | |
Dr. Lora Wonderly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596 | |
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554 | |
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486 |