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DR. MARK P LOGAN D.M.D.
NPI 1760426803
Dentist - Periodontics in Longmeadow, MA

Active since June 16, 2006PECOS Enrolled
123 DWIGHT RD, LONGMEADOW, MA 01106(413) 567-0341(413) 567-7299 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark P Logan D.m.d. NPPES

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

DR. MARK P LOGAN D.M.D. (NPI 1760426803) is an individual periodontics provider in Longmeadow, Massachusetts, licensed in Massachusetts (1550) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760426803
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARK P LOGANCredential: D.M.D.
Location Address123 DWIGHT RDLongmeadow, MA 01106-1748
Mailing Address123 Dwight RdLongmeadow, MA 01106-1748 · (413) 567-0341 · Fax (413) 567-7299
Phone(413) 567-0341
Fax(413) 567-7299
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760426803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · 1550
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
123 DWIGHT RD, Longmeadow, MA 01106
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark P Logan D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MAURICE DULLEA D.D.S.
Dentist (General Practice)
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 567-1221
REBECCA ANN VASSALLO LMHC
Counselor (Mental Health)
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 262-9573
DR. CHRIS SMITH D.D.S.
Dentist (General Practice)
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 567-1221
DR. SARAH GERMANI DO
Pediatrics
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 567-1031
DR. RICHARD J TREDEAU M.D.
Pediatrics
123 DWIGHT RD, SUITE 11
LONGMEADOW, MA 01106
Hampden County (413) 567-1031
MINA FARKHONDEH M.D.
Pediatrics
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (603) 264-5792
DR. JUDITH E TAPPER M.D.
Pediatrics
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 567-1031
THE FLAGSHIP DENTAL GROUP
Dentist (General Practice)
123 DWIGHT RD
LONGMEADOW, MA 01106
Hampden County (413) 567-1221

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 Mark Logan's NPI number?

The NPI number for Mark Logan is 1760426803. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Mark Logan located?

Mark Logan practices at 123 Dwight Rd, Longmeadow, MA 01106. The listed phone number is (413) 567-0341.

What is Mark Logan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mark Logan enrolled in Medicare?

Yes. Mark Logan is registered in the Medicare PECOS enrollment system.

What insurance does Mark Logan 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 Mark Logan 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 Mark Logan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.