Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lee R. Logan, DDS, Prof Corp

Organization Dentist · NPI 1003869769

Lee R. Logan, DDS, Prof Corp provides Dentist services in Northridge, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18250 Roscoe Blvd Ste #315
Northridge, CA 91325-4226
Phone: (818) 885-8650
Fax: (818) 885-7169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13848 (CA)

Record details

NPI number1003869769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Logan — President · (818) 885-8650
NPI enumeratedMay 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address18250 Roscoe Blvd, Suite #315, Northridge, CA 91325-4226

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