Logan Paul Goulet, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60965539 Issued in WA

Practice address

3150 E 27TH Ave # 200
Spokane, WA 99223-4919

Phone

(509) 838-4141

NPI assigned

Apr 23, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Logan P Goulet DMD PLLC

  dba Witter and Goulet Family Dentistry

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1679180046
  NPD Authorized official
• Richard G Witter, DDS

  • Dentist
  • Spokane, WA
  • NPI 1528411600

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1497319719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 DIAMOND DR",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569340",
            "telephone_number": "509-671-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 27TH AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234919",
            "telephone_number": "509-838-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "LOGAN",
        "middle_name": "PAUL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60965539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Gott, PA-C
• Andrew Joseph Gottlob, MS
• Todd G. Gottschalk, DO
• Jennifer Gould
• Kerry P Gould
• Brett Lee Gourley, MD
• Joanna Gourley, PHARMD
• Sarah B Gourley
• Anna Kristen Govin
• Alexandra Goward, NP

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.