Individual provider · Type 1 NPI

Logan B. Ebersold, DMD

General Practice Dentistry · Fort Mill, SC

NPI number 1053540708 Active

About NPI 1053540708

Logan B. Ebersold, DMD's National Provider Identifier is 1053540708, issued on Jul 2, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Mill, SC. The record was last updated on May 20, 2021.