Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER LOGUE, PHDH
Active Sole ProprietorHEATHER LOGUE, PHDH is a Dental Hygienist healthcare provider located in HERRICK, Illinois. NPI 1104676543 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · HERRICK, IL
Registration Details
- NPI Number
- 1104676543
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2024 (2.4149082217723 yrs)
- Last Updated
- Mar 26, 2024
- License
-
L20014077 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 E SOUTH 1ST STHERRICK, IL, 624311600Browse IL providers · Browse ZIP 62431
- Phone
- 2172542816
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.