DR. BRADLEY DWIGHT LOGIE (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1073707519

DR. BRADLEY DWIGHT LOGIE (DDS) is a healthcare provider. based in Fort sill, Oklahoma. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials DDS. They hold a License No. L117008 (MI). The NPI Number for DR. BRADLEY DWIGHT LOGIE (DDS) is 1073707519

Main info

Male
Sole Proprietor
Name
DR. BRADLEY DWIGHT LOGIE (DDS)
NPI
1073707519
Phone
(580) 442-3905
Address
2776 RINGGOLD ROAD
Enumeration Date
28 August 2007
Last Update Date
7 January 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for DR. BRADLEY DWIGHT LOGIE (DDS)

  • 2776 RINGGOLD ROAD

    ATTN: CREDENTIALS COORDINATOR

    FORT SILL, OK 735036300

    Phone: (580) 442-3905

    Fax: (580) 442-4002

    Type: Location

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731268819

    Phone: (269) 556-9398

    Fax: (269) 556-9488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Straumann USA LLC ($26).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Straumann USA LLC$26
ZIMVIE INC.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-11

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73503)

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Reviews

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Frequently asked questions

How do I look up DR. BRADLEY DWIGHT LOGIE (DDS) by NPI?
Use NPI 1073707519 when you need to reference DR. BRADLEY DWIGHT LOGIE (DDS) in forms, claims, or directories.
Does this profile mean DR. BRADLEY DWIGHT LOGIE (DDS) is currently active?
Yes — DR. BRADLEY DWIGHT LOGIE (DDS) appears active in the national provider directory.
Does DR. BRADLEY DWIGHT LOGIE (DDS) list a primary specialty?
If you are matching referrals, note Oral and Maxillofacial Surgery (Dentist) for DR. BRADLEY DWIGHT LOGIE (DDS). Clinical services aligned with this taxonomy classification.
Where does public data place DR. BRADLEY DWIGHT LOGIE (DDS)?
The snapshot lists Fort Sill, Oklahoma for DR. BRADLEY DWIGHT LOGIE (DDS); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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