Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LOGAN COLLINS BANNER, D.D.S.
Active Sole ProprietorDR. LOGAN COLLINS BANNER, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in SHREVEPORT, Louisiana. NPI 1740577592 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SHREVEPORT, LA
Registration Details
- NPI Number
- 1740577592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2011 (14.936566587958 yrs)
- Last Updated
- Jul 28, 2024
- Licenses
-
DE60226297 (WA)32707 (TX)7046 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2120 BERT KOUNS INDUSTRIAL LOOP STE DSHREVEPORT, LA, 711183351Browse LA providers · Browse ZIP 71118
- Phone
- 3186879800
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| JASON HAROLD LUSTIG | DDS MD | 1750347498 |
| DR. CEDRIC VARDIS LOUD | D.D.S. | 1699793737 |
| DR. BRIAN ROY SMITH | DDS | 1639191182 |
| JAMES WILLIAM SIKES JR. | DMD, MD | 1194731836 |
| DR. WILLIAM BRANTLEY GOYNE | DDS | 1326188145 |
| DR. WENDELL WAYNE NEELEY II | DMD, MD, MS | 1285806810 |
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.