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DR. LOGAN CHARLES GOODRICH DMD
NPI 1225654882
Dentist in Fort Wayne, IN

Active since June 19, 2020
1234 E DUPONT RD STE 4, FORT WAYNE, IN 46825(260) 490-3495 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Logan Charles Goodrich Dmd NPPES

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

DR. LOGAN CHARLES GOODRICH DMD (NPI 1225654882) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12013386A) and active in the NPI registry since June 2020. He maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1225654882
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LOGAN CHARLES GOODRICHCredential: DMD
Location Address1234 E DUPONT RD STE 4Fort Wayne, IN 46825-1545
Mailing Address8429 Hunters Knoll RunFort Wayne, IN 46825-6406 · (260) 515-8864
Phone(260) 490-3495
Sole ProprietorNo
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1225654882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12013386A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1234 E DUPONT RD STE 4, Fort Wayne, IN 46825
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Secondary Practice Location 1

Location 14302 E State BlvdFort Wayne, IN 46815-6988 · Phone (260) 484-3136

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DR. CONNIE SUAH SHIM MIDDLETON D.D.S
Dentist
1234 E DUPONT RD STE 4
FORT WAYNE, IN 46825
Allen County (260) 490-3495
MIDDLETON FAMILY DENTISTRY LLC
Dentist
1234 E DUPONT RD STE 4
FORT WAYNE, IN 46825
Allen County (260) 484-3136

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 Goodrich's NPI number?

The NPI number for Logan Goodrich is 1225654882. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Logan Goodrich located?

Logan Goodrich practices at 1234 E Dupont Rd Ste 4, Fort Wayne, IN 46825. The listed phone number is (260) 490-3495.

What is Logan Goodrich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Logan Goodrich accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana list Logan Goodrich 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 Goodrich was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.