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NPI Code Detail

MEDICARE: DR. DANIEL G LOGGI JR. DMD

MEDICARE: DR. DANIEL G LOGGI JR. DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)DI016516NJ

General Provider Information

NPI Number : 1124021068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL G LOGGI JR. DMD
Provider Business Mailing Address
First Line : PO BOX 898
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-0898
Country : US
Telephone Number : 609-465-4340
Fax Number : 609-465-5064
Provider Business Practice Location Address
First Line : 42 ROOSEVELT BLVD
Second Line :
City : MARMORA
State : NJ
Zip : 08223-1402
Country : US
Telephone Number : 609-390-0331
Fax Number : 609-390-2602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 11/19/2012

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