Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lee R. Logan, DDS, Prof Corp

Organization Dentist · NPI 1003869769

Lee R. Logan, DDS, Prof Corp is a Dentist 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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