Individual provider · Type 1 NPI
Brian Lee Lundberg, DMD
General Practice Dentistry · Logan, UT
NPI number
1629284039
Active
Practice location
655 Darwin Ave
Logan, UT 84321-6156
Fax (435) 752-4929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 138906-9922 (UT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1629284039
Brian Lee Lundberg, DMD's National Provider Identifier is 1629284039, issued on May 15, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Logan, UT. The record was last updated on Jul 8, 2007.