Theodore E Logan JR. DMD

  • NPI 1245231778
According to our database, the NPI number for Theodore E Logan JR. DMD is 1245231778 and activated since 18 years ago. Theodore E Logan JR. DMD is an individual provider who specializes in Oral and Maxillofacial Surgery, and the primary practice location is 3101 Breckenridge Ln, Louisville, KY 40220. You can also contact Theodore E Logan JR. DMD via telephone number is (502) 459-8012. Provider NPI information was last updated on 07/08/2007.

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Overview of Theodore E Logan JR. DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/09/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: 4056
  • License State: KY

Provider Mailing Address

  • Address: 3101 Breckenridge Ln
    Ste 2d
    Louisville, KY 40220
  • Phone: 502-459-8012
  • Fax: 502-459-8021

Provider Practice Location

  • Address: 3101 Breckenridge Ln
    Ste 2d
    Louisville, KY 40220
  • Phone: 502-459-8012
  • Fax: 502-459-8021

Scope of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: 4056
  • License State: KY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 60040565
  • Identifier Type: Other
  • Identifier State: KY
  • Issuer: MEDICAID DENTAL

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Theodore E Logan JR. DMD?
  • A: The npi number for Theodore E Logan JR. DMD is 1245231778.
  • Q: What are Theodore E Logan JR. DMD's specialties?
  • A: Theodore E Logan JR. DMD's specialties are Oral and Maxillofacial Surgery and different specialities.
  • Q: What is the medical license for Theodore E Logan JR. DMD?
  • A: The medical license number for Theodore E Logan JR. DMD is 4056 and issued in KY in USA.
  • Q: Where is Theodore E Logan JR. DMD practice location?
  • A: Theodore E Logan JR. DMD is practicing at 3101 Breckenridge Ln, Louisville, KY 40220.
  • Q: How to contact Theodore E Logan JR. DMD?
  • A: You can contact Theodore E Logan JR. DMD via 502-459-8012.