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LOGAN WILSON DMD
NPI 1760062061
Dentist - Pediatric Dentistry in Pittsfield, MA

Active since April 11, 2021
77 ELM ST, PITTSFIELD, MA 01201(413) 442-0122 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2023, Apr 11, 2021 (2 updates tracked since 2021).

About Logan Wilson Dmd NPPES

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

LOGAN WILSON DMD (NPI 1760062061) is an individual pediatric dentistry provider in Pittsfield, Massachusetts, licensed in Massachusetts (DN1859678) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1760062061
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameLOGAN WILSONCredential: DMD
Location Address77 ELM STPittsfield, MA 01201-6503
Mailing Address29 Westview RdLanesborough, MA 01237-9516 · (413) 841-2094
Phone(413) 442-0122
Sole ProprietorYes
Enumeration DateApril 11, 2021
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1760062061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · DN1859678
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
77 ELM ST, Pittsfield, MA 01201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

DR. NEHA DAS DDS
Dentist (Pediatric Dentistry)
77 ELM ST
PITTSFIELD, MA 01201
Berkshire County (413) 442-0122
BERKSHIRE PEDIATRIC DENTISTRY SPECIALISTS, PC
Dentist (Pediatric Dentistry)
77 ELM ST
PITTSFIELD, MA 01201
Berkshire County (413) 442-0122
DR. JACK BUDNICK D.D.S.
Dentist (Pediatric Dentistry)
77 ELM ST
PITTSFIELD, MA 01201
Berkshire County (413) 442-0122
DR. LISA CAMPAGNA GAMACHE D.M.D.
Dentist (Pediatric Dentistry)
77 ELM ST
PITTSFIELD, MA 01201
Berkshire County (413) 442-0122
BERKSHIRE PEDIATRIC DENTISTRY, PC
Dentist (Pediatric Dentistry)
77 ELM ST
PITTSFIELD, MA 01201
Berkshire County (413) 442-0122

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 Wilson's NPI number?

The NPI number for Logan Wilson is 1760062061. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Logan Wilson located?

Logan Wilson practices at 77 Elm St, Pittsfield, MA 01201. The listed phone number is (413) 442-0122.

What is Logan Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Logan Wilson accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Logan Wilson 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 Wilson was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.