DR. LOGAN B EBERSOLD DMD
NPI 1053540708
Dentist - General Practice in Fort Mill, SC

Q: What is Logan Ebersold's NPI number?

The NPI number for Logan Ebersold is 1053540708. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Logan Ebersold's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Logan Ebersold was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2009

200 N DOBYS BRIDGE RD STE 108, FORT MILL, SC 29715(803) 396-5888(803) 396-5896 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Logan B Ebersold Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOGAN B EBERSOLD DMD (NPI 1053540708) is an individual general practice provider in Fort Mill, South Carolina, licensed in South Carolina (4618) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1053540708

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LOGAN B EBERSOLDCredential: DMD

Location Address200 N DOBYS BRIDGE RD STE 108Fort Mill, SC 29715-2084

Mailing Address200 N Dobys Bridge Rd Ste 108Fort Mill, SC 29715-2084 · (803) 396-5888 · Fax (803) 396-5893

Phone(803) 396-5888

Fax(803) 396-5896

Sole ProprietorNo

Enumeration DateJuly 2, 2009

Last NPPES UpdateMay 20, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1053540708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 4618

Definition

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.

200 N DOBYS BRIDGE RD STE 108, Fort Mill, SC 29715

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATAWBA RIVER DENTISTRY, LLC

Dentist (General Practice)

200 N DOBYS BRIDGE RD STE 108
FORT MILL, SC 29715

York County (803) 396-5888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Ebersold's NPI number?

The NPI number for Logan Ebersold is 1053540708. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Logan Ebersold located?

Logan Ebersold practices at 200 N Dobys Bridge Rd Ste 108, Fort Mill, SC 29715. The listed phone number is (803) 396-5888.

What is Logan Ebersold's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Logan Ebersold accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Logan Ebersold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Ebersold was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.