Kelbe Logan, DMD
NPI 1407668213ActiveIndividual· Dentist· Jackson, MS
Dentist (DMD) in Jackson, Mississippi, trained at University of Mississippi Medical Center School of Dentistry (class of 2024). Enrolled in Medicare as practitioner - pediatric dentistry.
Overview
| NPI | 1407668213 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jan 21, 2025 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4493-25 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Dentistry (TX) |
|---|
Education and affiliations
| Medical school | University of Mississippi Medical Center School of Dentistry |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Pediatric Dentistry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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