Deborah Anne Logan, CRDH
Dental Hygienist in Fort Campbell, KY. Individual provider (NPI-1).
NPI number1477022069
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1477022069
- Entity type
- Individual (NPI-1)
- Name
- Deborah Anne Logan
- Credential
- CRDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2018
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH12084 | FL | Yes |
Practice location
7973 W Destiny BlvdFort Campbell, KY 42223-5429
Phone 270-412-6027
Mailing address
7973 W Destiny BlvdFort Campbell, KY 42223-5429
Phone 270-412-6027
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Other Dental Hygienist providers in Fort Campbell, KY
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All 18 Dental Hygienist providers in Fort Campbell · All 1,373 providers in Fort Campbell
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