DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. POLLY JO COURTNEY LOGAN, DDS

Active

DR. POLLY JO COURTNEY LOGAN, DDS is a Dentist healthcare provider located in STILLWATER, Minnesota. NPI 1043221153 is currently active in the NPPES registry. Verify at CMS.

Dentist · STILLWATER, MN

Registration Details

NPI Number
1043221153
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2006 (19.975582750573 yrs)
Last Updated
Jul 8, 2007
Licenses
D11950 (MN)
5740015 (WI)

Practice Information

Address
13961 60TH ST
ST CROIX VALLEY DENTAL
STILLWATER, MN, 55082
Browse MN providers · Browse ZIP 55082
Phone
6514392600
Fax
6514392211
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in STILLWATER, MN

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.