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SOPHIE LOGAN DDS MMSC PC
NPI 1255179636
Clinic/Center - Dental in Santa Cruz, CA

Active since July 18, 2024
824 MISSION ST, SANTA CRUZ, CA 95060(707) 849-3113 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 7, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Sophie Logan Dds Mmsc Pc NPPES

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

SOPHIE LOGAN DDS MMSC PC (NPI 1255179636), doing business as Sea Glass Orthodontics, is a healthcare organization registered as a dental in Santa Cruz, California and active in the NPI registry since July 2024. The organization lists Sophie Logan, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1255179636
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOPHIE LOGAN DDS MMSC PC
Location Address824 MISSION STSanta Cruz, CA 95060-3681
Mailing Address115 Segre PlSanta Cruz, CA 95060-3160 · (831) 331-1903
Phone(707) 849-3113
Organization SubpartNo
Authorized OfficialSophie LoganOrthodontist · (831) 531-7660
Enumeration DateJuly 18, 2024
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1255179636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
824 MISSION ST, Santa Cruz, CA 95060
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Other Names 1

Doing Business AsSea Glass Orthodontics

Other Providers at the Same Location NPPES 4

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

STANLEY MELVIN SOKOLOW DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
824 MISSION ST
SANTA CRUZ, CA 95060
Santa Cruz County (831) 426-1056
DR. DONALD PAUL CONNOLLY I D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
824 MISSION ST
SANTA CRUZ, CA 95060
Santa Cruz County (831) 426-1056
DR. SOPHIE ELIZABETH LOGAN DDS, MMSC
Dentist (Orthodontics and Dentofacial Orthopedics)
824 MISSION ST
SANTA CRUZ, CA 95060
Santa Cruz County (831) 331-1903
DONALD P. CONNOLLY DDS APC
Dentist (Orthodontics and Dentofacial Orthopedics)
824 MISSION ST
SANTA CRUZ, CA 95060
Santa Cruz County (831) 426-1056

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 Sophie Logan Dds Mmsc PC's NPI number?

The NPI number for Sophie Logan Dds Mmsc PC is 1255179636. It was assigned to this organization in the NPPES registry on July 18, 2024. The provider is doing business as Sea Glass Orthodontics.

Where is Sophie Logan Dds Mmsc PC located?

Sophie Logan Dds Mmsc PC is located at 824 Mission St, Santa Cruz, CA 95060. The listed phone number is (707) 849-3113.

What is Sophie Logan Dds Mmsc PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Sophie Logan Dds Mmsc PC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.