Organization
CLAIRE LOGAN, DDS, PLLC
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE LOGAN DDS (OWNER)
(601) 936-2526
Entity
Organization
Contact information
Practice address
996 TOP ST, FLOWOOD, MS 39232-9541
(601) 936-2526
(601) 936-2426
Mailing address
996 TOP ST, FLOWOOD, MS 39232-9541
(601) 936-2526
(601) 936-2426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093079147
—
TN
05
—
1912112061
—
MS
05
—
1972662203
—
MS
Enumeration date
05/01/2023
Last updated
05/01/2023
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