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

North Logan Pdc PLLC

Organization Dentist · NPI 1649837337

North Logan Pdc PLLC is a Dentist in Logan, Utah. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1445 N 400 E Ste 3A
Logan, UT 84341-7564
Phone: (435) 752-1699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Periodontics Taxonomy 1223P0300X

Record details

NPI number1649837337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Warner — Credentialing Manager · (801) 691-1701
Other names Platinum Dental Care
NPI enumeratedMay 29, 2019
Last updated in NPPESMay 29, 2019
Mailing addressPo Box 970184, Orem, UT 84097-0309

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