Dr Logan Icenhour, DDS - Dentist in Wilmington, NC

Dr Logan Icenhour, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Wilmington, North Carolina. Dr Logan Icenhour is licensed to practice in North Carolina (license number 12611) and his current practice location is 1516 Doctors Cir, Wilmington, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 251-1100.

NPI number for Dr Logan Icenhour is 1649811746 and his current mailing address is 1516 Doctors Cir, Wilmington, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649811746.

Contact Information

Dr Logan Icenhour, DDS
1516 Doctors Cir,
Wilmington, NC 28401-7404
(910) 251-1100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Logan Icenhour
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1516 Doctors Cir, Wilmington, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649811746
  • Provider Enumeration Date: 10/01/2019
  • Last Update Date: 08/23/2022

Medical Identifiers

Medical identifiers for Dr Logan Icenhour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649811746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 0006706 (Alabama)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 12611 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Logan Icenhour is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Logan Icenhour, DDS
1516 Doctors Cir,
Wilmington, NC 28401-7404

Ph: (910) 251-1100
Dr Logan Icenhour, DDS
1516 Doctors Cir,
Wilmington, NC 28401-7404

Ph: (910) 251-1100

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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