OrganizationActive
Logan Pdc PLLC
NPI 1457801078 · General Practice Dentistry · Logan, UT
Logan Pdc PLLC is a General Practice Dentistry organization in Logan, UT (NPI 1457801078).
Provider details
- NPI number
- 1457801078
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Warner, Credentialing Manager(801) 691-1701
- License
- 289803-9923 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
167 E 200 N
Ste 3
Logan, UT 84321-4049
Phone: (435) 752-3689
Fax: (435) 752-8217
Street-level locationGet directions
Mailing address
Po Box 970924
Orem, UT 84097-0924
Other names (DBA / former)
- Doing business as
- Platinum Dental Care
- Doing business as
- Platinum Dental Care
Registry dates
- Enumerated
- 2016-10-06
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Frequently asked questions
- What is Logan Pdc PLLC's NPI number?
- Logan Pdc PLLC's National Provider Identifier (NPI) is 1457801078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Logan Pdc PLLC?
- Logan Pdc PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Logan Pdc PLLC located?
- Logan Pdc PLLC's practice location on file with NPPES is 167 E 200 N, Logan, UT 84321-4049.
- What is Logan Pdc PLLC's phone number?
- The practice phone number listed in the NPPES registry for Logan Pdc PLLC is (435) 752-3689.
- Who is the authorized official for Logan Pdc PLLC?
- The authorized official listed on Logan Pdc PLLC's NPPES record is Jacob Warner, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Logan Pdc PLLC's NPI active?
- Yes — Logan Pdc PLLC's NPI (1457801078) is active in the NPPES registry as of the last update on 2021-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.