Don Logue, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5234 Issued in OK

Practice address

1702 Park Hill Rd
Tahlequah, OK 74464-5600

Phone

(918) 456-3082

Fax

(918) 456-3536

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Don Logue DDS PC

  • General Practice Dentistry
  • Tahlequah, OK
  • NPI 1508853235
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1790903011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 PARK HILL RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645600",
            "telephone_number": "918-456-3082",
            "fax_number": "918-456-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 PARK HILL RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645600",
            "telephone_number": "918-456-3082",
            "fax_number": "918-456-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "DON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karri Locust
• Rozlyn Hana Locust, MBA
• Loftin Family Practice
• Alyssa Loftin
• Gayla Dawn Loftin, RDH
• Joshua C. Looney, D.D.S.
• Gretchan B Lopez, DO
• Nanetta Bonita Lowe, MD
• Tarina Victoria Lowe
• Lowrey Public School

• General Practice Dentistry in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.