Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY DWIGHT LOGIE, DDS
Active Sole ProprietorDR. BRADLEY DWIGHT LOGIE, DDS is a Oral & Maxillofacial Surgery healthcare provider located in FORT SILL, Oklahoma. NPI 1073707519 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FORT SILL, OK
Registration Details
- NPI Number
- 1073707519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2007 (18.934818629719 yrs)
- Last Updated
- Jan 7, 2019
- License
-
L117008 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2776 RINGGOLD ROADATTN: CREDENTIALS COORDINATORFORT SILL, OK, 735036300Browse OK providers · Browse ZIP 73503
- Phone
- 5804423905
- Fax
- 5804424002
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in FORT SILL, OK
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL JAMES CONVEY | DDS | 1003893009 |
| DR. TIMOTHY JAMES NEUNER | D.D.S. | 1952469553 |
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.