Individual provider · Type 1 NPI
Jon Laurence Logullo, D.M.D
General Practice Dentistry · Greenville, IL
NPI number
1801015375
Active
Practice location
411 W College Ave
Greenville, IL 62246-1020
Fax (618) 664-0386
Mailing address
P. O. Box 398
Greenville, IL 62246-6224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
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.
Another provider at this address
Other general practice dentistry providers in Greenville
About NPI 1801015375
Jon Laurence Logullo, D.M.D's National Provider Identifier is 1801015375, issued on Apr 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Greenville, IL. The record was last updated on Jul 8, 2007.