Individual
DR. LOGAN SAMUEL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
2050 W ILES AVE STE C, SPRINGFIELD, IL 62704-4194
(217) 698-6150
(217) 698-6151
Mailing address
2050 W ILES AVE STE C, SPRINGFIELD, IL 62704-4194
(217) 698-6150
(217) 698-6151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013858A
IN
1223E0200X
Endodontics
Primary
021.003554
IL
Other
Enumeration date
07/20/2022
Last updated
08/06/2026
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