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Logan Pdc Pllc

General Practice Dentistry in Logan, UT · enumerated 2016 · authorized official Jacob Warner, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457801078

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Registry record

Entity type Organization (Type 2)
Legal business name Logan Pdc Pllc
Other name <Unavail>
Practice address 167 E 200 N, Ste 3, Logan, UT, 84321
Phone (435) 752-3689
Fax (435) 752-8217
Enumeration date Oct 6, 2016
Last updated in NPPES Jul 2, 2021

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 289803-9923 (UT) Primary

Authorized official

Name Jacob Warner
Title Credentialing Manager
Phone (801) 691-1701

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Logan Pdc Pllc?
The NPI for Logan Pdc Pllc is 1457801078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Logan Pdc Pllc?
NPPES lists Jacob Warner (Credentialing Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-02.