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IndividualActiveMedicare EnrolledCan Order/Refer

Ace Logo

Dentist - General Practice

NPI: 1669097804Enid, Oklahoma, 73703(580) 242-5862Male

About Ace Logo

Ace Logo is a male healthcare professional specializing in Dentist - General Practice with a focus on General Practice, registered under National Provider Identifier (NPI) number 1669097804. Ace Logo received his medical education at MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE, graduating in 2020.

Their primary practice is located at 402 S OAKWOOD RD STE D, Enid, Oklahoma 73703. Patients can reach the office at (580) 242-5862. In addition to the primary location, Ace Logo maintains 1 additional practice location.

Ace Logo is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Beyond Dentist - General Practice, Ace Logo also practices in ORAL SURGERY. Ace Logo has been NPI-registered since 2020.

Key Metrics

Rx Claims

131

$745.98

Opioid Rate

11.4%

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1669097804
Entity Type
Individual
First Name
Ace
Last Name
Logo
Gender
Male
Medical School
MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduation Year
2020
Sole Proprietor
No
Status
active

Primary Practice Location

Address
402 S OAKWOOD RD STE D
City
Enid
State
Oklahoma
ZIP
73703-4945
Country
United States
Phone
(580) 242-5862

Specialty & Taxonomy

Primary Specialty
Dentist - General Practice
Classification
Dentist
Specialization
General Practice
Taxonomy Code
1223G0001X
Secondary Specialties
ORAL SURGERY

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
402 S OAKWOOD RD STE D
City
ENID
State
OK
ZIP
737034945

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Ace Logo's NPI number?
Ace Logo's National Provider Identifier (NPI) is 1669097804. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Ace Logo specialize in?
Ace Logo specializes in Dentist - General Practice. They received their medical education at MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE (class of 2020).
Where is Ace Logo located?
Ace Logo practices at 402 S OAKWOOD RD STE D, Enid, Oklahoma 73703. You can reach them by phone at (580) 242-5862. They also have 1 additional practice location.
Does Ace Logo accept Medicare?
Yes, Ace Logo is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Ace Logo offer telehealth or virtual visits?
Ace Logo does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Ace Logo is 1669097804.