Dr. Robert A Logan
Dental Public Health
11 Kiel Ave
Kinnelon
, New Jersey 07405-2549
Dr. Robert A Logan
Dental Public Health
11 Kiel Ave
Kinnelon
, New Jersey 07405-2549
(973) 838-6258
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Robert A Logan
- 11 Kiel Ave
- Kinnelon, NJ
- Zip : 07405-2549
- Fax : (973) 838-6258
- Phone : (973) 838-4460
Second Address
- Dr. Robert A Logan
- 11 Kiel Ave
- Kinnelon, NJ
- Zip : 07405-2549
- Fax : (973) 838-6258
- Phone : (973) 838-4460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DI10617 | NJ |
National Provider Identifier
| NPI | 1275671612 |
|---|---|
| Provider Name | Dr. Robert A Logan |
| First Address | Kinnelon, NJ 07405-2549 |
| Second Address | Kinnelon, NJ 07405-2549 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 08/07/2007 |
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.