Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790308286 Individual Practitioner Male Practitioner

Dr. Logan Cornwell , DDS

Dentist - General Practice • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Logan Cornwell, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mesa, AZ. Practice services are available at 1025 S POWER RD STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 S Power Rd Ste 106

Mesa, AZ 852065240

Telephone 4803869111
Associated Practice Facility / Clinic
🏢 Migoto Management, Llc Facility NPI 1477982981

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
228 Specialists

Practicing in Mesa, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D010936

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00204475

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address April 09, 2024

Registered at 1025 S POWER RD STE 106, MESA, AZ 852065240 (Tel: 4803869111)

📍
Updated Practice Location May 10, 2023

Registered at 1025 S POWER RD STE 106, MESA, AZ 852065240 (Tel: 4803869111)

📍
Updated Practice Location July 20, 2021

Registered at 1124 WILLOW CREEK RD, PRESCOTT, AZ 863011431 (Tel: 9285150032)

📍
Updated Business Mailing Address July 20, 2021

Registered at 1124 WILLOW CREEK RD, PRESCOTT, AZ 863011431 (Tel: 9285150032)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Dentist (License #DEN.00204475 in CO)

NPI Profile Active May 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2020

Registered at 1127 E MAIN ST, MONTROSE, CO 814014043 (Tel: 9702491543)

📍
Updated Business Mailing Address May 19, 2020

Registered at 1127 E MAIN ST, MONTROSE, CO 814014043 (Tel: 9702491543)

👤
Provider Name / Credentials Updated May 19, 2020

Recorded as LOGAN CORNWELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Dentist (License #T-DEN.00000006 in CO)

🟢
Initial NPI Registration & Enumeration May 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790308286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2020
Last Update: April 09, 2024
Sole Proprietor: No

Mailing Address

1025 S Power Rd Ste 106

Mesa, AZ 852065240

Phone: 4803869111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.