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
Phone: (651) 439-2600
Fax: (651) 439-2211
Website:
Health care specialties
Specialty | Code | License # | 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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