DR. Jim Wesley Logan, DDS

NPI #1821168071 in Weatherford, Oklahoma

Provider Information

NPI Number: 1821168071
Entity Type: Individual
Name: DR. Jim Wesley Logan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 519 E FRANKLIN
City: Weatherford
State: Oklahoma
ZIP Code: 73096-5337
Phone: (580) 772-1612

Specialties & Taxonomy Codes

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

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