Logan Oral Surgery
Logan Oral Surgery is an Oral and Maxillofacial Surgery Clinic/Center in North Logan, Utah. Licensed in Utah. Registered with an NPI since 2012.
- Licensed in
- UT
- In the registry since
- 2012
Practice location Address checks out
3125 N Main St Ste #103North Logan, UT 84341-1550
Phone: (435) 754-7130
Fax: (435) 535-2464
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 8227102-9924 (UT) |
|---|
Record details
| NPI number | 1598024341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Matson — Owner · (435) 754-7130 |
| NPI enumerated | May 15, 2012 |
| Last updated in NPPES | April 28, 2014 |
| Mailing address | 3125 N. Main Street, Ste #103, North Logan, UT 84341-1550 |