Individual provider · Type 1 NPI

Deborah Anne Logan, CRDH

Dental Hygienist · Fort Campbell, KY

NPI number 1477022069 Active

Practice location

7973 W Destiny Blvd
Fort Campbell, KY 42223-5429

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	DH12084 (FL)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1477022069

Deborah Anne Logan, CRDH's National Provider Identifier is 1477022069, issued on Nov 13, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Mar 16, 2026.