IndividualActive
Polly Jo Logan, DDS
NPI 1043221153 · Dentist · Stillwater, MN
Polly Jo Logan, DDS is a Dentist provider in Stillwater, MN (NPI 1043221153).
Provider details
- NPI number
- 1043221153
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D11950 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13961 60th St
St Croix Valley Dental
Stillwater, MN 55082
Phone: (651) 439-2600
Fax: (651) 439-2211
Street-level locationGet directions
Mailing address
Po Box 291
Stillwater, MN 55082
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Polly Jo Logan's NPI number?
- Polly Jo Logan's National Provider Identifier (NPI) is 1043221153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Polly Jo Logan's specialty?
- Polly Jo Logan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Polly Jo Logan located?
- Polly Jo Logan's practice location on file with NPPES is 13961 60th St, Stillwater, MN 55082.
- What is Polly Jo Logan's phone number?
- The practice phone number listed in the NPPES registry for Polly Jo Logan is (651) 439-2600.
- Is Polly Jo Logan's NPI active?
- Yes — Polly Jo Logan's NPI (1043221153) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.