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

DR. LOGAN ICENHOUR, DDS

Active

DR. LOGAN ICENHOUR, DDS is a Orthodontics healthcare provider located in WILMINGTON, North Carolina. NPI 1649811746 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · WILMINGTON, NC

Registration Details

NPI Number
1649811746
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2019 (6.8936721518185 yrs)
Last Updated
Aug 23, 2022
Licenses
0006706 (AL)
12611 (NC)

Practice Information

Address
1516 DOCTORS CIR
WILMINGTON, NC, 284017404
Browse NC providers · Browse ZIP 28401
Phone
9102511100
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in WILMINGTON, NC

Name Credential NPI
DR. JOHN FINLEY WHITE JR. DDS 1891709218
DR. SIDNEY WARREN PHILLIPS JR. D.D.S., M.S., P.A. 1518044718
DR. GREGORY L RICHARDSON DDS MS 1952529364
DR. WILLIAM VINCENT GIERIE II DDS 1215142047
JOSEPH ENNEIS JAMISON DDS 1962671396
HENRY D BROWNING IV DDS 1396902722
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.