Individual provider · Type 1 NPI

Logan Wilson, DMD

Pediatric Dentistry · Pittsfield, MA

NPI number 1760062061 Active

Practice location

77 Elm St
Pittsfield, MA 01201-6503

Mailing address

29 Westview Rd
Lanesborough, MA 01237-9516

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN1859678 (MA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1760062061

Logan Wilson, DMD's National Provider Identifier is 1760062061, issued on Apr 11, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Pittsfield, MA. The record was last updated on Jul 11, 2023.