KELBE LOGAN DMD
NPI 1407668213
Dentist in Jackson, MS

Active since January 21, 2025
2500 N STATE ST, JACKSON, MS 39216(601) 815-5514 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelbe Logan Dmd NPPES

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

KELBE LOGAN DMD (NPI 1407668213) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (4493-25) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1407668213
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKELBE LOGANCredential: DMD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address761 Rice Rd Apt 319Ridgeland, MS 39157-1089 · (662) 739-8428
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1407668213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MS · 4493-25
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.

2500 N STATE ST, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

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

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Pharmacist (Psychiatric)
2500 N STATE ST
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Dentist
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407668213, enumerated as an "individual" on January 21, 2025.

The provider is located at 2500 N STATE ST JACKSON, MS 39216 and the phone number is (601) 815-5514.

Dentist with taxonomy code 122300000X.