Logan Charles McIntire, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123081 Issued in GA

Practice address

3237 Sixes Rd
Canton, GA 30114-7965

Phone

(678) 880-9775

NPI assigned

Jun 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1932886181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147965",
            "telephone_number": "678-880-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147965",
            "telephone_number": "678-880-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "LOGAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Elizabeth McElroy, BCBA
• Mary McFarland, LPC
• Caran McFarlane
• Meredith Paige McGorrian, PA-C
• Susana McGuire, CNP-FAMILY
• Dennis Garrett McKenna, P.A.-C.
• Tania McKenzie-Ming, NP-C
• Amanda Lynne McKinley
• Kelli Michelle Dye McLaren, PT DPT SCS CMTPT
• Maggie McLean

• General Practice Dentistry in Canton, GA
• Providers in Canton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.