Logelin, Michael Gregory
Logelin, Michael Gregory is an individual health care provider with primary practice located at Bldg 45005 Runion Dental Clinic Usa Dentac, Ft Huachuca AZ 85670. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Logelin, Michael Gregory can be contacted via phone (520) 533-3144.Contact Information
Primary practice address
Bldg 45005 Runion Dental Clinic Usa Dentac
Ft Huachuca AZ 85670
Phone: (520) 533-3144
Fax: (520) 533-7285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28353 | California |
| Dental Providers / General Practice | 1223G0001X | 3481 | Nevada |
| Dental Providers / General Practice | 1223G0001X | 9858 | Colorado |
Profile Details
| NPI number | 1841210572 |
|---|---|
| LBN Legal business name | Logelin, Michael Gregory |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 27th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841210572 | NPPES |
| Colorado | MEDICAID | 32170513 | |
| Colorado | MEDICAID | D28353 | |
| Colorado | MEDICAID | 002202771 |
Popular Providers
-
Arbuckle, Patrick James
2240 Winrow Rd , Fort Huachuca AZ 85613-5080 -
Richards, Karl Randy
Us Army Dental Command 2240 E. Winrow Ave, Fort Huachuca AZ 85613 -
Cofer, John P
Hqs, U.S. Army Dental Activity 51005 Winans Riley Barracks East Wing, Fort Huachuca AZ 85613-7040 -
Rice, Donald G
2240 Winrow Rd , Fort Huachuca AZ 85613-5080 -
Bowman, Larry Richard
Hqs, U.S. Army Dental Activity 51005 Winans Riley Barracks East Wing, Fort Huachuca AZ 85613-7040 -
Moskowitz, Steven A.
1517 Packer Ave , Philadelphia PA 19145-4910 -
Bersano, Raymond Bernard
Hqs, U.S. Army Dental Activity 51005 Winans Riley Barracks East Wing, Fort Huachuca AZ 85613-7040 -
Cannava, Paul Anthony
2240 E Winrow Ave. Us Army Dental Clinic Command, Fort Huachuca AZ 85613-7040