SearchIdaho1223G0001X

Logan Fox, DMD

NPI 1861236747 · on the registry since 2024

Practice

Address
1097 N Jacksonmill Ave
Kuna, ID 83634
Phone
(208) 519-7171
Organisation at this address
Idaho Dental Professionals, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-24

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 Idaho