DR. JON LAURENCE LOGULLO D.M.D
NPI 1801015375
Dentist - General Practice in Greenville, IL

Active since April 24, 2007
411 W COLLEGE AVE, GREENVILLE, IL 62246(618) 664-2236(618) 664-0386 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jon Laurence Logullo D.m.d NPPES

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

DR. JON LAURENCE LOGULLO D.M.D (NPI 1801015375) is an individual general practice provider in Greenville, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1801015375
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JON LAURENCE LOGULLOCredential: D.M.D
Location Address411 W COLLEGE AVEGreenville, IL 62246-1020
Mailing AddressP. O. Box 398Greenville, IL 62246-6224 · (618) 664-2236 · Fax (618) 664-0386
Fax(618) 664-0386
Sole ProprietorYes
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1801015375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

411 W COLLEGE AVE, Greenville, IL 62246

Accepted Insurance

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 Jon Logullo's NPI number?

The NPI number for Jon Logullo is 1801015375. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Jon Logullo located?

Jon Logullo practices at 411 W College Ave, Greenville, IL 62246. The listed phone number is (618) 664-2236.

What is Jon Logullo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jon Logullo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Alabama and Florida Combined Life and 1 other insurer list Jon Logullo 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 Jon Logullo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.