MR. Logan Wayne Coffee

NPI #1164465399 in Vian, Oklahoma

Provider Information

NPI Number: 1164465399
Entity Type: Individual
Name: MR. Logan Wayne Coffee
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: HIGHWAY 83 SOUTH AND I-40 JUNCTION
City: Vian
State: Oklahoma
ZIP Code: 74962
Phone: (918) 773-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Vian Family Dental Clinic, Inc.	Dentist - General Practice	Vian	AI Deep Dive

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