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DR. LOGAN MARIANO DMD
NPI 1861989121
Dentist - Pediatric Dentistry in Phoenix, AZ

Active since April 21, 2018
4383 E ROSEMONTE DR, PHOENIX, AZ 85050(570) 772-3267 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2019, Apr 21, 2018 (2 updates tracked since 2018).

About Dr. Logan Mariano Dmd NPPES

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

DR. LOGAN MARIANO DMD (NPI 1861989121) is an individual pediatric dentistry provider in Phoenix, Arizona, licensed in Arizona (D010364) and active in the NPI registry since April 2018. He maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1861989121
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LOGAN MARIANOCredential: DMD
Location Address4383 E ROSEMONTE DRPhoenix, AZ 85050-3407
Mailing Address4383 E Rosemonte DrPhoenix, AZ 85050-3407 · (570) 772-3267
Phone(570) 772-3267
Sole ProprietorYes
Enumeration DateApril 21, 2018
Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration
✔ NPI 1861989121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AZ · D010364
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4383 E ROSEMONTE DR, Phoenix, AZ 85050
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Secondary Practice Location 1

Location 111092 Anderson StLoma Linda, CA 92350-1706 · Phone (570) 772-3267

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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 Logan Mariano's NPI number?

The NPI number for Logan Mariano is 1861989121. It was assigned to this individual provider in the NPPES registry on April 21, 2018.

Where is Logan Mariano located?

Logan Mariano practices at 4383 E Rosemonte Dr, Phoenix, AZ 85050. The listed phone number is (570) 772-3267.

What is Logan Mariano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Logan Mariano accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Logan Mariano 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 Mariano was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.