Dr Michael Gregory Logelin, DDS is a
Dentist - General Practice based in Ft Huachuca, Arizona. Dr Michael Gregory Logelin is licensed to practice in Nevada (license number 3481) and his current practice location is
Bldg 45005 Runion Dental Clinic, Usa Dentac, Ft Huachuca, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 533-3144.
NPI number for Dr Michael Gregory Logelin is 1841210572 and his current mailing address is 3757 Camino Bella Rosa, Sierra Vista, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841210572.
Healthcare Provider's Profile
| Full Name | Dr Michael Gregory Logelin |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | Bldg 45005 Runion Dental Clinic, Ft Huachuca, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841210572
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 11/27/2012
Medical Identifiers
Medical identifiers for Dr Michael Gregory Logelin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841210572 | NPI | - | NPPES |
| 32170513 | Medicaid | CO | |
| D28353 | Medicaid | CA | |
| 002202771 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 28353 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 3481 (Nevada) | Primary |
| 1223G0001X | Dentist - General Practice | 9858 (Colorado) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Gregory Logelin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Gregory Logelin, DDS
3757 Camino Bella Rosa,
Sierra Vista, AZ 85650-9410
Ph: (702) 326-8519 | Dr Michael Gregory Logelin, DDS
Bldg 45005 Runion Dental Clinic, Usa Dentac,
Ft Huachuca, AZ 85670
Ph: (520) 533-3144 |
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