TIMOTHY W LOGAN DMD NPI 1548227655

NPI Information

Timothy W Logan, DMD is an oral and maxillofacial surgery dentist in Louisville, KY. The provider is an oral and maxillofacial surgery dentist specialized in 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. Timothy W Logan, DMD NPI is 1548227655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9800 SHELBYVILLE RD
SUITE 202
LOUISVILLE, KY
ZIP 40223-977
Phone: (502) 429-0526
Fax: (502) 429-0532

The enumeration date for this NPI number is 5/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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