DR. LOGAN BANNER, D.D.S.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1740577592

Practice Address

2120 BERT KOUNS INDUSTRIAL LOOP STE D
Shreveport, LA 71118

Phone: (318) 687-9800

Specialties

Specialty Code Primary License
Dentist 122300000X No DE60226297 (WA)
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 7046 (LA)

Frequently Asked Questions

NPI 1740577592 is the National Provider Identifier for DR. LOGAN BANNER, D.D.S., a Dentist - Oral and Maxillofacial Surgery provider located in Shreveport, LA. This NPI was enumerated on June 30, 2011.
DR. LOGAN BANNER, D.D.S. practices at 2120 BERT KOUNS INDUSTRIAL LOOP STE D, Shreveport, LA 71118.

Quick Facts

NPI
1740577592
Type
Individual
Enumerated
Jun 30, 2011
Last Updated
Jul 28, 2024

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