Timothy W Logan, DMD - Louisville, KY

Timothy W Logan, DMD

Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky

NPI 1548227655

Timothy W Logan is a Oral and Maxillofacial Surgery (Dentist) based in Louisville, KY and is specialized in Oral and Maxillofacial Surgery. Timothy W Logan practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Timothy W Logan is 1548227655 and holds a License No. 5015 (Kentucky).

The current practice location address for Timothy W Logan 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, 40223-2977

NPI Number

1548227655

Provider Name

Timothy W Logan

Credential

DMD

Provider Entity Type

Individual

Gender

Male

Address

9800 Shelbyville Rd, Louisville, KY, 40223-2977

Phone Number

502-429-0526

Fax Number

502-429-0532

Provider Enumeration Date

05/01/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
000000049874	01		BLUE CROSS BLUE SHIELD

Address

9800 Shelbyville Rd

City

Louisville

State

Kentucky

Zip

40223-2977

Phone Number

502-429-0526

Fax Number

502-429-0532

Address

9800 Shelbyville Rd

City

Louisville

State

Kentucky

Zip

40223-2977

Phone Number

502-429-0526

Fax Number

502-429-0532

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

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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