Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LOGAN CHARLES GOODRICH, DMD
ActiveDR. LOGAN CHARLES GOODRICH, DMD is a Dentist healthcare provider located in FORT WAYNE, Indiana. NPI 1225654882 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1225654882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2020 (6.1336638906071 yrs)
- Last Updated
- Jun 19, 2020
- License
-
12013386A (IN)
Practice Information
- Address
-
1234 E DUPONT RD STE 4FORT WAYNE, IN, 468251545Browse IN providers · Browse ZIP 46825
- Phone
- 2604903495
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL THOMAS TOM | D.D.S. | 1477558138 |
| DR. CHAD STOLLER | DDS, PA-C | 1700871118 |
| DR. DWANE RICHARD BRUICK | DDS | 1740255991 |
| DR. ROLAND FRED SLYBY | DDS | 1497765978 |
| DR. MICHAEL ROBERT GLASSLEY | D.D.S. | 1841304573 |
| DR. PHILIP W GARDNER | DDS | 1497865844 |
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.