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Search › Massachusetts › 1223P0221X

Logan Wilson, DMD

NPI 1760062061 · on the registry since 2021 · sole proprietor

Practice

Address
77 Elm St
Pittsfield, MA 01201
Phone
(413) 442-0122
Organisation at this address
Berkshire Pediatric Dentistry, Pc
Berkshire Pediatric Dentistry Specialists, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts