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DR. LOGAN WILLIAM SMITH DDS
NPI 1831878214
Dentist - General Practice in O Fallon, MO

Active since July 13, 2023PECOS Enrolled
3009 HIGHWAY K, O FALLON, MO 63368(636) 379-7552 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Logan William Smith Dds NPPES

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

DR. LOGAN WILLIAM SMITH DDS (NPI 1831878214) is an individual general practice provider in O Fallon, Missouri, licensed in Missouri (2023021391) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831878214
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LOGAN WILLIAM SMITHCredential: DDS
Location Address3009 HIGHWAY KO Fallon, MO 63368-8696
Mailing Address932 Millwood DrSaint Peters, MO 63376-7029 · (636) 293-8250
Phone(636) 379-7552
Sole ProprietorYes
Enumeration DateJuly 13, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1831878214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2023021391
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.
3009 HIGHWAY K, O Fallon, MO 63368
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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. Logan William 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 63368 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 6

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

DR. JENNIFER SOPRYCH DMD
Dentist (General Practice)
3009 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 379-7552
ERIC JOSEPH FRITSCHE
Dentist
3009 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 379-7552
ALEX SHARIFIAN DDS OFALLON MODERN DENTISTRY PC
Dentist (General Practice)
3009 HIGHWAY K
O'FALLON, MO 63368
St. Charles County (636) 379-7552
GABRIELLE ELIZABETH MERTZ DDS
Dentist
3009 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 379-7552
TYLER LEAVITT DDS
Dentist
3009 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 379-7552
JACQUELYN ANI AKMAKJIAN DMD
Dentist (General Practice)
3009 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 379-7552

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 1831878214. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Logan Smith located?

Logan Smith practices at 3009 Highway K, O Fallon, MO 63368. The listed phone number is (636) 379-7552.

What is Logan Smith's specialty?

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

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 Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 17 other insurers 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 July 13, 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.