Individual
DR. LOGAN H. CHILDERS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12600 E 40 HWY, INDEPENDENCE, MO 64055-5955
(816) 478-4202
(816) 478-8920
Mailing address
12600 E 40 HWY, INDEPENDENCE, MO 64055-5955
(816) 478-4202
(816) 478-8920
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
010648
MO
Other
Enumeration date
02/23/2006
Last updated
05/17/2026
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