Theodore E Logan JR. is a Oral and Maxillofacial Surgery (Dentist) based in Louisville, KY and is specialized in Oral and Maxillofacial Surgery. Theodore E Logan JR. practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Theodore E Logan JR. is 1245231778 and holds a License No. 4056 (Kentucky).
The current practice location address for Theodore E Logan JR. is 3101 Breckenridge Ln, Louisville, KY and can be reached out via phone at 502-459-8012 and via fax at 502-459-8021.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64040561 | 05 | KY | |
| 1055007 | 01 | KY | PASSPORT |
| 60040565 | 01 | KY | MEDICAID DENTAL |
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