NPI Code Detail JSON Logo

1083578967 NPI number — SCOTT A. LOGAN D.D.S., AND AARON D. FRITSCH D.D.S., PLLC

NPI Number: 1083578967
Health Care Provider/Practitioner: SCOTT A. LOGAN D.D.S., AND AARON D. FRITSCH D.D.S., PLLC

Information about “1083578967” NPI (SCOTT A. LOGAN D.D.S., AND AARON D. FRITSCH D.D.S., PLLC) exists in 1083578967 in HTML format HTML  |  1083578967 in plain Text format TXT  |  1083578967 in PDF (Portable Document Format) PDF  |  1083578967 in an XML format XML  formats.

NPI Number : 1083578967 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083578967",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SCOTT A. LOGAN D.D.S., AND AARON D. FRITSCH D.D.S., PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3205 ROBINSON CREEK PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTSVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77340-2299",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "936-291-6589",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3205 ROBINSON CREEK PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTSVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77340-2299",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "936-291-6589",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/15/2025",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FRITSCH",
    "AuthorizedOfficialFirstName": "AARON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "936-291-6589",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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