Dr. Bradley Dwight Logie
Oral and Maxillofacial Surgeon
2776 Ringgold Road Attn: Credentials Coordinator
Fort Sill
, Oklahoma 73503-6300
Dr. Bradley Dwight Logie
Oral and Maxillofacial Surgeon
2776 Ringgold Road Attn: Credentials Coordinator
Fort Sill
, Oklahoma 73503-6300
(269) 556-9488
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bradley Dwight Logie
- Po Box 268819
- Oklahoma City, OK
- Zip : 73126-8819
- Fax : (269) 556-9488
- Phone : (269) 556-9398
Second Address
- Dr. Bradley Dwight Logie
- 2776 Ringgold Road Attn: Credentials Coordinator
- Fort Sill, OK
- Zip : 73503-6300
- Fax : (580) 442-4002
- Phone : (580) 442-3905
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | L117008 | MI |
National Provider Identifier
| NPI | 1073707519 |
|---|---|
| Provider Name | Dr. Bradley Dwight Logie |
| First Address | Oklahoma City, OK 73126-8819 |
| Second Address | Fort Sill, OK 73503-6300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2007 |
| Last Update Date | 07/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.