institution
Timothy W. Logan, D.m.d., P.s.c.
Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky
NPI 1427349687

Timothy W. Logan, D.m.d., P.s.c. is a Oral and Maxillofacial Surgery (Dentist) based in Louisville, KY and is specialized in Oral and Maxillofacial Surgery. Timothy W. Logan, D.m.d., P.s.c. practices in Louisville, KY. The NPI Number for Timothy W. Logan, D.m.d., P.s.c. is 1427349687 and holds a License No. 5015 (Kentucky).

The current practice location address for Timothy W. Logan, D.m.d., P.s.c. is 9800 Shelbyville Rd, Louisville, KY and can be reached out via phone at 502-429-0526 and via fax at 502-429-0532.

Location: 9800 Shelbyville Rd, Louisville, KY, 40223-5440
institution
Provider Profile Details
NPI Number
1427349687
Provider Name
Timothy W. Logan, D.m.d., P.s.c.
Credential
Provider Entity Type
Organization
Address
9800 Shelbyville Rd, Louisville, KY, 40223-5440
Phone Number
502-429-0526
Fax Number
502-429-0532
Provider Enumeration Date
04/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548227655 01 NPI TYPE 1
000000049874 01 BLUE CROSS/BLUE SHIEL
institution
Provider Business Practice Location Address Details
Address
9800 Shelbyville Rd
City
State
Zip
40223-5440
Phone Number
502-429-0526
Fax Number
502-429-0532
person
Provider Business Mailing Address Details
Address
9800 Shelbyville Rd
City
State
Zip
40223-5440
Phone Number
502-429-0526
Fax Number
502-429-0532
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
5015 (Kentucky)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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