Logie, Bradley Dwight

Logie, Bradley Dwight is an sole proprietor health care provider with primary practice located at 2776 Ringgold Road Attn: Credentials Coordinator, Fort Sill OK 73503-6300. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Logie, Bradley Dwight can be contacted via phone (580) 442-3905.

Contact Information

Primary practice address
2776 Ringgold Road Attn: Credentials Coordinator Fort Sill OK 73503-6300
Phone: (580) 442-3905
Fax: (580) 442-4002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X L117008 Michigan

Profile Details

NPI number 1073707519
LBN Legal business name Logie, Bradley Dwight
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Jan 7th, 2019 - about 6 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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