Icenhour, Logan

Icenhour, Logan is an individual health care provider with primary practice located at 1516 Doctors Cir , Wilmington NC 28401-7404. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Icenhour, Logan can be contacted via phone (910) 251-1100.

Contact Information

Primary practice address
1516 Doctors Cir Wilmington NC 28401-7404
Phone: (910) 251-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0006706 Alabama
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12611 North Carolina

Profile Details

NPI number 1649811746
LBN Legal business name Icenhour, Logan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2019
Last updated Aug 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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