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

Dr. Polly Jo Courtney Logan, DDS

Individual provider Dentist · NPI 1043221153

Dr. Polly Jo Courtney Logan, DDS is a Dentist in Stillwater, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2006.

Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

13961 60th St St Croix Valley Dental
Stillwater, MN 55082
Phone: (651) 439-2600
Fax: (651) 439-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11950 (MN)
Dentist Taxonomy 122300000X · Licence 5740015 (WI)

Record details

NPI number1043221153
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 8, 2007

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