Mark Logan, D.M.D

NPI 1760426803 · on the registry since 2006 · sole proprietor

Practice

Address: 123 Dwight Rd
Longmeadow, MA 01106
Phone: (413) 567-0341
Fax: (413) 567-7299
Organisation at this address: Andrew Bonavita Dmdpc
The Flagship Dental Group
Pioneer Valley Pediatrics, Inc.
Simply Dental Of Longmeadow Pllc
Counseling & Gynecology Group P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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