| Temicka Logan, DDS | |
|
1037 W Main St Ste E, Lebanon, TN 37087-3356 | |
| (615) 444-2262 | |
| Not Available |
| Full Name | Temicka Logan |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1037 W Main St Ste E, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235584913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0000010434 (Tennessee) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Matthew Walker Comprehensive Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356405278 PECOS PAC ID: 4082691456 Enrollment ID: O20040702000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Temicka Logan, DDS 1005 Dr Db Todd Jr Blvd, Meharry Medical College, Nashville, TN 37208-3501 Ph: Not Available | Temicka Logan, DDS 1037 W Main St Ste E, Lebanon, TN 37087-3356 Ph: (615) 444-2262 |
Dr. Bruce Lyman Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 716 Castle Heights Ct, Lebanon, TN 37087 Phone: 615-444-0065 |
Marissa Denise Dopson, DDS, MPH Dentist Medicare: Not Enrolled in Medicare Practice Location: 1715 W Main St, Lebanon, TN 37087 Phone: 615-784-4330 |
Dr. William E Willis Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 Babb Drive, Lebanon, TN 37087 Phone: 615-444-4969 Fax: 615-444-6914 |
Dr. Horton Scott Li, DMD Dentist Medicare: Medicare Enrolled Practice Location: 604 S Cumberland St Ste 200, Lebanon, TN 37087 Phone: 615-208-7286 |
Dr. Timothy Alan Pfountz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 335 S. Hartmann Drive, Lebanon, TN 37087 Phone: 615-453-9937 |
Lauren Ashley Hardy, Dentist Medicare: Not Enrolled in Medicare Practice Location: 920 S Hartmann Dr Ste 210, Lebanon, TN 37090 Phone: 931-293-7592 |
Dr. David Brooks Lehman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Signature Pl, Lebanon, TN 37087 Phone: 615-444-7999 |