NPI 1013166628

Logan Ditto, DDS

Practitioner Dentist Coeur D Alene, ID

Practice location

Address: 2344 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950
Phone: (208) 676-8500

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D-4342 (ID)

Other Dentist providers in Idaho →

Dentist

Dental Providers Taxonomy 122300000X Licence DE60035239 (WA)

Registry record

NPI: 1013166628
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2008
Record last updated: 28 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.