Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053540708 Individual Practitioner Male Practitioner

Dr. Logan B Ebersold , DMD

Dentist - General Practice • Fort Mill, SC

Professional Overview & Biography Verified Profile Summary

Dr. Logan Ebersold, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fort Mill, SC. Practice services are available at 200 N DOBYS BRIDGE RD STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 N Dobys Bridge Rd Ste 108

Fort Mill, SC 297152084

Telephone 8033965888
Fax 8033965896
Associated Practice Facility / Clinic
🏢 Catawba River Dentistry, Llc Facility NPI 1255113932

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Mill, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Fort Mill, SC (1873 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: 2021-05-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 4618

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

8 Historical Events
📍
Updated Practice Location May 20, 2021

Registered at 200 N DOBYS BRIDGE RD STE 108, FORT MILL, SC 297152084 (Tel: 8033965888)

📍
Updated Business Mailing Address May 20, 2021

Registered at 200 N DOBYS BRIDGE RD STE 108, FORT MILL, SC 297152084 (Tel: 8033965888)

NPI Profile Active July 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2009

Registered at 1144 INDIA HOOK RD, SUITE A, ROCK HILL, SC 297322783 (Tel: 8033247567)

📍
Updated Business Mailing Address July 02, 2009

Registered at 1222 APPLEWOOD LN, YORK, SC 297456437 (Tel: 8033897746)

👤
Provider Name / Credentials Updated July 02, 2009

Recorded as LOGAN EBERSOLD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2009

Dentist (License #4618 in SC)

🟢
Initial NPI Registration & Enumeration July 02, 2009

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: 1053540708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2009
Last Update: May 20, 2021
Sole Proprietor: No

Mailing Address

200 N Dobys Bridge Rd Ste 108

Fort Mill, SC 297152084

Phone: 8033965888

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.