Individual provider · Type 1 NPI

Logan Icenhour, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Wilmington, NC

NPI number 1649811746 Active

Practice location

1516 Doctors Cir
Wilmington, NC 28401-7404

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	0006706 (AL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	12611 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1649811746

Logan Icenhour, DDS's National Provider Identifier is 1649811746, issued on Oct 1, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wilmington, NC. The record was last updated on Aug 23, 2022.