Logan, Polly Jo Courtney

Logan, Polly Jo Courtney is an individual health care provider with primary practice located at 13961 60Th St St Croix Valley Dental, Stillwater MN 55082. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Logan, Polly Jo Courtney can be contacted via phone (651) 439-2600.

Contact Information

Primary practice address
13961 60Th St St Croix Valley Dental Stillwater MN 55082
Fax: (651) 439-2211
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11950 Minnesota
Dental Providers / Dentist 122300000X 5740015 Wisconsin

Profile Details

NPI number 1043221153
LBN Legal business name Logan, Polly Jo Courtney
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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