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Logan C Smith DDS PLLC

NPI 1649803388ActiveOrganization· Dentist, General Practice· Jenison, MI

Dentist, General Practice in Jenison, Michigan, registered in NPPES in February 2020. The authorized official on file is Logan Conrad Smith, DDS, Owner Dentist.

Overview

NPI1649803388
StatusActive
Entity typeOrganization
NPI issuedFeb 21, 2020
Last updated in NPPESFeb 21, 2020
Certified by providerFeb 21, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Jenison

All 23 general dentists in Jenison · All general dentists in Michigan