Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225654882 Individual Practitioner Male Practitioner

Dr. Logan Charles Goodrich , DMD

Dentist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Logan Goodrich, DMD is a registered healthcare professional specializing in Dentist in Fort Wayne, IN. Practice services are available at 1234 E DUPONT RD STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 E Dupont Rd Ste 4

Fort Wayne, IN 468251545

Telephone 2604903495
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
103 Specialists

Practicing in Fort Wayne, IN (1682 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: 2020-06-19
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12013386A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

4302 E State Blvd

Fort Wayne, IN 468156988

Phone: 2604843136

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Tulsi Soni , DMD

Dentist - General Practice

NPI 1336060979

Doctor of Dental Medicine

NPI 1497865844

Doctor of Dental Surgery

NPI 1538423645

Doctor of Dental Surgery

Dr. Christine Lam , DMD

Dentist - General Practice

NPI 1720726904

Doctor of Dental Medicine

Dr. Benjamin Boswell , DDS

Dentist - General Practice

NPI 1770479636

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2020

Registered at 1234 E DUPONT RD STE 4, FORT WAYNE, IN 468251545 (Tel: 2604903495)

📍
Updated Business Mailing Address June 19, 2020

Registered at 8429 HUNTERS KNOLL RUN, FORT WAYNE, IN 468256406 (Tel: 2605158864)

👤
Provider Name / Credentials Updated June 19, 2020

Recorded as LOGAN GOODRICH, DMD

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

Dentist (License #12013386A in IN)

🟢
Initial NPI Registration & Enumeration June 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: 1225654882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2020
Last Update: June 19, 2020
Sole Proprietor: No

Mailing Address

8429 Hunters Knoll Run

Fort Wayne, IN 468256406

Phone: 2605158864

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.