Individual provider · Type 1 NPI
Bradley Dwight Logie, DDS
Oral and Maxillofacial Surgery (Dentist) · Fort Sill, OK
Practice location
2776 Ringgold Road, Attn: Credentials Coordinator
Fort Sill, OK 73503-6300
Fax (580) 442-4002
Mailing address
PO Box 268819
Oklahoma City, OK 73126-8819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | L117008 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Fort Sill
About NPI 1073707519
Bradley Dwight Logie, DDS's National Provider Identifier is 1073707519, issued on Aug 28, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Sill, OK. The record was last updated on Jan 7, 2019.