DR. RICKY WARNER LOGAN (NPI# 1629242441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629242441 |
Entity Type | Individual |
Full Name | DR. RICKY WARNER LOGAN |
Credential | DMD |
Practice Address |
4711 Atlanta Hwy Montgomery AL 36109-3240 |
Practice Telephone | 3342726880 |
Mailing Telephone | 3342726880 |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-04-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4104 | AL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
Street Address |
4711 ATLANTA HWY |
City | MONTGOMERY |
State | AL |
Zip Code | 36109-3240 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
Find all providers in zip 36109 |
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 |
---|---|---|---|---|
1477107217 | Julian Brandt Smith | Dentist | 2642 Bell Road, Montgomery, AL 36117-7559 | 2019-07-30 |
1669931721 | Shirley Jennifer Daniel | Dentist | 6941 Eastchase Loop, Montgomery, AL 36117-6876 | 2019-03-18 |
1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
1891201430 | Cranfill Dental of Al LLC | Dentist | 150 S Perry St, Montgomery, AL 36104-4227 | 2017-12-19 |
1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
1114392107 | Tooth Buds At Lagoon Park, LLC | Dentist | 553 N Eastern Blvd, Montgomery, AL 36117-2213 | 2015-12-02 |
1275872426 | Johnny M. Griffin Dds PC | Dentist | 1401 I85 Pkwy Ste D, Montgomery, AL 36106-2833 | 2013-02-07 |
1639444342 | Homer William Smith | Dentist | 619 Second Avenue, Montgomery, WV 25136-2435 | 2012-03-13 |
1083885602 | Thomas Michael Little Sr. | Dentist | 16019 Highway 105 W, Montgomery, TX 77356-5640 | 2008-03-23 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36109 |
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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.