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

LOGAN WILSON, DMD

Active Sole Proprietor

LOGAN WILSON, DMD is a Pediatric Dentistry healthcare provider located in PITTSFIELD, Massachusetts. NPI 1760062061 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PITTSFIELD, MA

Registration Details

NPI Number
1760062061
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2021 (5.3102792607838 yrs)
Last Updated
Jul 11, 2023
License
DN1859678 (MA)
Sole Proprietor
Yes

Practice Information

Address
77 ELM ST
PITTSFIELD, MA, 012016503
Browse MA providers · Browse ZIP 01201
Phone
4134420122
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in PITTSFIELD, MA

Name Credential NPI
DR. LISA CAMPAGNA GAMACHE D.M.D. 1619995537
MRS. LAUREN KRISTEEN BALLINGER DDS 1235235144
STEVEN E YARMOSKY D.D.S., P.C. 1033260385
DR. JACK BUDNICK D.D.S. 1447394382
DR. NEHA DAS DDS 1316335250
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.