Individual
DR. LOGAN SAMUEL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
231 N PENNSYLVANIA ST APT 405, INDIANAPOLIS, IN 46204-2354
(239) 223-4556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013858A
IN
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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