The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Westlake and Ohio

4 active clinicians are listed under Dentist - Endodontics with a practice address in Westlake, OH (186 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-29

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES OH 30.026104

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location July 29, 2026

Registered at 26179 DETROIT RD, WESTLAKE, OH 441452430 (Tel: 4405836677)

📍

Updated Business Mailing Address July 29, 2026

Registered at 184 MOOREWOOD AVE, AVON LAKE, OH 440121418 (Tel: 4407142479)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2026

Dentist (license number reported to NPPES: OH 30.026104)

✅

NPI Profile Active April 08, 2020

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 08, 2020

Registered at 88TH DENTAL SQUADRON, 4881 SUGAR MAPLE DRIVE, APO, AA 454335529 (Tel: 9372578761)

📍

Business Mailing Address (Initial Record) April 08, 2020

Registered at 115 ARMOUR RD, AVON LAKE, OH 440121736 (Tel: 4407142479)

👤

Provider Name / Credentials (Initial Record) April 08, 2020

Recorded as LOGAN DILIK, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2020

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 08, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124657382

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 08, 2020

Last Update: July 29, 2026

Sole Proprietor: No

Update or Correct Profile

Other Dentist - Endodontics Specialists in Westlake

Healthcare providers in Westlake

Mailing Address

184 Moorewood Ave

Avon Lake, OH 440121418

Phone: 4407142479

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.