Doctor profile · Federal record
Dr. Logan Goodrich, DMD
Dentist · Fort Wayne, IN
- NPI 1225654882
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1234 E Dupont RD Ste 4
Fort Wayne, IN 468251545
(260) 490-3495 - Additional location
-
4302 E State Blvd
Fort Wayne, IN 468156988
(260) 484-3136 - Mailing address
-
8429 Hunters Knoll Run
Fort Wayne, IN 468256406
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Indiana #12013386A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225654882. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$64
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Keystone Dental INC. | 1 | $63.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
35
Patients
25
Total drug cost
$71
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 35 | 25 | $71 |
Frequently asked questions
What is Dr. Logan Goodrich's medical specialty?
Dr. Logan Goodrich practices Dentist in Fort Wayne, IN.
Where does Dr. Logan Goodrich practice?
Dr. Logan Goodrich practices at 1234 E Dupont RD Ste 4, Fort Wayne, IN 468251545. Office phone: 2604903495.
What is Dr. Logan Goodrich's NPI?
Dr. Logan Goodrich's National Provider Identifier (NPI) is 1225654882, issued by NPPES.