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DR. MATTHEW L. LOGAN D.D.S.
NPI 1861409716
Dentist - General Practice in Brooklyn, MI

Active since August 02, 2006PECOS Enrolled
170 WAMPLERS LAKE RD, BROOKLYN, MI 49230(517) 592-3857(517) 592-5787 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew L. Logan D.d.s. NPPES

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

DR. MATTHEW L. LOGAN D.D.S. (NPI 1861409716) is an individual general practice provider in Brooklyn, Michigan, licensed in Michigan (2901014195) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861409716
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW L. LOGANCredential: D.D.S.
Location Address170 WAMPLERS LAKE RDBrooklyn, MI 49230-9585
Mailing Address170 Wamplers Lake RdBrooklyn, MI 49230-9585 · (517) 592-3857 · Fax (517) 592-5787
Phone(517) 592-3857
Fax(517) 592-5787
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1861409716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901014195
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.
Also ListedDentistTaxonomy 122300000X · License 2901014195 (MI)
170 WAMPLERS LAKE RD, Brooklyn, MI 49230
Open in Google Maps ↗

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. Matthew L. Logan D.d.s. 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 49230 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 2

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

ROSS FAMILY DENTISTRY
Dentist (General Practice)
170 WAMPLERS LAKE RD
BROOKLYN, MI 49230
Jackson County (517) 592-3003
MR. NICHOLAS ALLEN ROSS DDS
Dentist
170 WAMPLERS LAKE RD
BROOKLYN, MI 49230
Jackson County (517) 592-3003

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 Matthew Logan's NPI number?

The NPI number for Matthew Logan is 1861409716. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Matthew Logan located?

Matthew Logan practices at 170 Wamplers Lake Rd, Brooklyn, MI 49230. The listed phone number is (517) 592-3857.

What is Matthew Logan's specialty?

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

Is Matthew Logan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Logan was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.