DR. LOGAN CONRAD SMITH DDS
NPI 1821401068
Dentist in Jenison, MI

Q: What is Logan Smith's NPI number?

The NPI number for Logan Smith is 1821401068. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Logan Smith's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Smith was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 05, 2014PECOS Enrolled

7706 GEORGETOWN CENTER DR STE A, JENISON, MI 49428(616) 855-0005(616) 855-0048 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Logan Conrad Smith Dds NPPES

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

DR. LOGAN CONRAD SMITH DDS (NPI 1821401068) is an individual dentist in Jenison, Michigan, licensed in Michigan (2901021197) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waterford.

NPPES Registry Identity

NPI1821401068

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LOGAN CONRAD SMITHCredential: DDS

Location Address7706 GEORGETOWN CENTER DR STE AJenison, MI 49428-7145

Mailing Address7706 Georgetown Center Dr Ste AJenison, MI 49428-7145 · (616) 855-0005 · Fax (616) 855-0048

Phone(616) 855-0005

Fax(616) 855-0048

Sole ProprietorYes

Enumeration DateJune 5, 2014

Last NPPES UpdateJune 24, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1821401068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901021197

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.

7706 GEORGETOWN CENTER DR STE A, Jenison, MI 49428

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Secondary Practice Location 1

Location 12340 Marwood DrWaterford, MI 48328-1633 · Phone (248) 933-2389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, Humana.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. Logan Conrad Smith Dds 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 49428 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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

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

LOGAN C SMITH DDS PLLC

Dentist (General Practice)

7706 GEORGETOWN CENTER DR STE A
JENISON, MI 49428

Ottawa County (616) 855-0005

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 Smith's NPI number?

The NPI number for Logan Smith is 1821401068. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Logan Smith located?

Logan Smith practices at 7706 Georgetown Center Dr Ste A, Jenison, MI 49428. The listed phone number is (616) 855-0005.

What is Logan Smith's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Logan Smith enrolled in Medicare?

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

What insurance does Logan Smith accept?

Health plans from Delta Dental of Michigan and Humana list Logan Smith 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 Smith was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.