1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Dentist
  6. NPI Profile

DR. LOGAN COLLINS BANNER D.D.S.
NPI 1740577592
Dentist - Oral and Maxillofacial Surgery in Shreveport, LA

Active since June 30, 2011
2120 BERT KOUNS INDUSTRIAL LOOP STE D, SHREVEPORT, LA 71118(318) 687-9800 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2024, Dec 21, 2020 (2 updates tracked since 2020).

About Dr. Logan Collins Banner D.d.s. NPPES

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

DR. LOGAN COLLINS BANNER D.D.S. (NPI 1740577592) is an individual oral and maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (7046) and active in the NPI registry since June 2011. He maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1740577592
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LOGAN COLLINS BANNERCredential: D.D.S.
Location Address2120 BERT KOUNS INDUSTRIAL LOOP STE DShreveport, LA 71118-3351
Mailing Address5718 Marina Bay DrShreveport, LA 71119-3918 · (206) 718-3063
Phone(318) 687-9800
Sole ProprietorYes
Enumeration DateJune 30, 2011
Last NPPES UpdateJuly 28, 20242 updates tracked since enumeration
NPPES CertifiedJuly 28, 2024
✔ NPI 1740577592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in LA · 7046✔ Licensed in TX · 32707
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License DE60226297 (WA)
2120 BERT KOUNS INDUSTRIAL LOOP STE D, Shreveport, LA 71118
Open in Google Maps ↗

Secondary Practice Location 1

Location 18540 1st Ave NW # 8Seattle, WA 98117-3059 · Phone (206) 801-3900

Accepted Insurance

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

SCOTT BELOZER DMD
Dentist (Oral and Maxillofacial Surgery)
2120 BERT KOUNS INDUSTRIAL LOOP STE D
SHREVEPORT, LA 71118
Caddo Parish (318) 687-9800

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 Banner's NPI number?

The NPI number for Logan Banner is 1740577592. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Logan Banner located?

Logan Banner practices at 2120 Bert Kouns Industrial Loop Ste D, Shreveport, LA 71118. The listed phone number is (318) 687-9800.

What is Logan Banner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Logan Banner accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 5 other insurers list Logan Banner 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 Banner was last updated on July 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.