| Don Logue Dds Pc | |
|
1702 Park Hill Rd Tahlequah OK 74464-5600 | |
| (918) 456-3082 | |
| (918) 456-3536 |
| Full Name | Don Logue Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1702 Park Hill Rd, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Laura Logue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9184563082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Don Logue Dds Pc 1702 Park Hill Rd Tahlequah OK 74464-5600 Ph: (918) 456-3082 | Don Logue Dds Pc 1702 Park Hill Rd Tahlequah OK 74464-5600 Ph: (918) 456-3082 |
| NPI Number | 1508853235 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508853235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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