Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801015375 Individual Practitioner Male Practitioner

Dr. Jon Laurence Logullo , DMD

Dentist - General Practice • Greenville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jon Logullo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Greenville, IL. Practice services are available at 411 W COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 W College Ave

Greenville, IL 622461020

Telephone 6186642236
Fax 6186640386

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Greenville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Greenville, IL (5581 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 411 W COLLEGE AVE, GREENVILLE, IL 622461020 (Tel: 6186642236)

📍
Updated Business Mailing Address July 08, 2007

Registered at P. O. BOX 398, GREENVILLE, IL 622466224 (Tel: 6186642236)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JON LOGULLO, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration April 24, 2007

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: 1801015375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

P. O. Box 398

Greenville, IL 622466224

Phone: 6186642236

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.