DR. RICKY WARNER LOGAN


Address: 4711 Atlanta Hwy, Montgomery, AL 36109-3240
Phone: 3342726880

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4104 AL Dental Providers

Other Providers RICKY LOGAN

NPI Name Taxonomy Address Enumeration
1013437508 Ricky Jermaine Logan Counselor 129 North King Street, Northampton, MA 01060 2017-06-26

Office Location

Street Address 4711 ATLANTA HWY
City MONTGOMERY
State AL
Zip Code 36109-3240

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City MONTGOMERY
Zip Code 36109

Improve Information

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Dataset Information

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.

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