Logan D Poff, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23485 Issued in FL

Practice address

200 Pasadena Ave S
Saint Petersburg, FL 33707-1251

Phone

(727) 347-1214

NPI assigned

Jun 21, 2018

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

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.

• Pelican Dental PLLC

  • General Practice Dentistry
  • Saint Petersburg, FL
  • NPI 1437002771
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1962996041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-347-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-347-1214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14884 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872701",
            "country_code": "US",
            "telephone_number": "941-426-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POFF",
        "first_name": "LOGAN",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMG Inpatient Services LLC
• Podiatry Foot and Ankle Care PLLC
• Dianne C Podis, C.R.N.A.
• Stefanie Poehacker, PHD
• Logan Elizabeth Poer, BASW
• Hembree Wade Poindexter
• Kristin Polakoff
• Melissa Ann Poley
• Lisa Marie Polhamus, NNP
• Kimberly Polignani, PSYD

• General Practice Dentistry in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.