Doctor profile · Federal record
Dr. Logan Ebersold, DMD
General Practice Dentistry · Fort Mill, SC
- NPI 1053540708
- 17 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
200 N Dobys Bridge RD Ste 108
Fort Mill, SC 297152084
(803) 396-5888
fax (803) 396-5896
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- May 20, 2021
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- South Carolina #4618
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053540708. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dmg America LLC | 1 | $18.15 | |
| Dentsply Sirona INC | 1 | $17.92 | |
| Ultradent Products INC | 1 | $2.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
47
Total drug cost
$132
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 52 | 47 | $132 |
Frequently asked questions
What is Dr. Logan Ebersold's medical specialty?
Dr. Logan Ebersold practices General Practice Dentistry in Fort Mill, SC.
Where does Dr. Logan Ebersold practice?
Dr. Logan Ebersold practices at 200 N Dobys Bridge RD Ste 108, Fort Mill, SC 297152084. Office phone: 8033965888.
What is Dr. Logan Ebersold's NPI?
Dr. Logan Ebersold's National Provider Identifier (NPI) is 1053540708, issued by NPPES.