| Dr Jon Laurence Logullo, DMD | |
|
411 W College Ave, Greenville, IL 62246-1020 | |
| (618) 664-2236 | |
| (618) 664-0386 |
| Full Name | Dr Jon Laurence Logullo |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 411 W College Ave, Greenville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801015375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon Laurence Logullo, DMD P. O. Box 398, Greenville, IL 62246-6224 Ph: (618) 664-2236 | Dr Jon Laurence Logullo, DMD 411 W College Ave, Greenville, IL 62246-1020 Ph: (618) 664-2236 |
Dr. Matthew James Mccullough, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1300 E City Route 40, Greenville, IL 62246 Phone: 618-664-1483 | |
Dr. William C Beckert, DMD Dentist Medicare: Medicare Enrolled Practice Location: 804 N Idler Ln, Greenville, IL 62246 Phone: 618-664-0986 Fax: 618-664-1055 |