LOGAN MCKAY HENDERSON (NPI# 1457750770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457750770 |
| Entity Type | Individual |
| Full Name | LOGAN MCKAY HENDERSON |
| Credential | DMD |
| Practice Address |
6491 N 7th St Fresno CA 93710-4337 |
| Practice Telephone | 6199628172 |
| Mailing Telephone | 6199628172 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
63681 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861925 | Logan Henderson | Behavior Technician | 15 N Stewart St, Quincy, FL 32351-2335 | 2020-11-03 |
| Street Address |
6491 N 7TH ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715711 | Jesse Rosete | Dentist | 7125 N Chestnut Ave Ste 107, Fresno, CA 93720-0358 | 2020-09-17 |
| 1609403500 | Lindsay S Takeda Dds Inc | Dentist | 1394 E Alluvial Ave Ste 104, Fresno, CA 93720-2696 | 2020-03-23 |
| 1144788910 | Ravinder Kaur | Dentist | 2676 N Cecelia Ave, Fresno, CA 93722-6866 | 2019-03-11 |
| 1104381110 | Diana Correavelosa Dds Inc | Dentist | 7614 N Fresno St Ste 105, Fresno, CA 93720-7406 | 2019-02-04 |
| 1396209821 | Ehsan Diab Dental Company Inc. | Dentist | 1665 W Shaw Ave Ste 103, Fresno, CA 93711-3508 | 2019-01-29 |
| 1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
| 1073023172 | Jungsuk Suh | Dentist | 4747 N 1st St Ste 174, Fresno, CA 93726-0517 | 2017-10-03 |
| 1033632435 | Laine Alise Janzen | Dentist | 7730 N Fresno St Ste 101, Fresno, CA 93720-2408 | 2017-07-18 |
| 1710416847 | Leticia D Ramirez | Dentist | 3248 E Shields Ave Ste B, Fresno, CA 93726-6915 | 2017-06-12 |
| 1679008262 | Raymond M Cheung | Dentist | 7770 N Fresno St Ste 105, Fresno, CA 93720 | 2017-04-21 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.