Most Relevant Information
Provider Data
| NPI Number: | 1003439530 |
| Provider Name: | LOGAN WILLIAMS DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 30.026132 |
Most Important Dates
| Enumeration Date: | 05/19/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
8435 STATION ST
MENTOR
OH
440604924
Practice Location Phone/Fax
| Phone: | 4402553111 |
| Fax: |
Provider Mailing Location
6151 CUMBERLAND CT
MENTOR
OH
440602448
Provider Mailing Phone/Fax
| Phone: | 4193087292 |
| Fax: |