| Dr Polly Jo Courtney Logan, DDS | |
|
13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 | |
| (651) 439-2600 | |
| (651) 439-2211 |
| Full Name | Dr Polly Jo Courtney Logan |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 13961 60th St, Stillwater, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043221153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11950 (Minnesota) | Primary |
| 122300000X | Dentist | 5740015 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Polly Jo Courtney Logan, DDS Po Box 291, St Croix Valley Dental Pllc, Stillwater, MN 55082 Ph: (651) 439-2600 | Dr Polly Jo Courtney Logan, DDS 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 Ph: (651) 439-2600 |
Dr. Sarah Louise Bogel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1395 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-430-0036 | |
Timothy Huska, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St N, Stillwater, MN 55082 Phone: 651-439-2600 | |
Richard L Schneider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 126 Main St N, Stillwater, MN 55082 Phone: 651-439-3637 Fax: 651-439-4655 | |
Steven D Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082 Phone: 651-439-8030 Fax: 651-351-0821 | |
Martin A Tahara, DMD, MD Dentist Medicare: Medicare Enrolled Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082 Phone: 651-439-8030 Fax: 651-351-0821 | |
Carson Cannon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2850 Curve Crest Blvd W Ste 200, Stillwater, MN 55082 Phone: 651-439-9400 |