Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE E LOGAN JR., DMD
ActiveTHEODORE E LOGAN JR., DMD is a Oral & Maxillofacial Surgery healthcare provider located in LOUISVILLE, Kentucky. NPI 1245231778 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LOUISVILLE, KY
Registration Details
- NPI Number
- 1245231778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.979768740117 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4056 (KY)
Practice Information
- Address
-
3101 BRECKENRIDGE LNSTE 2DLOUISVILLE, KY, 402202742Browse KY providers · Browse ZIP 40220
- Phone
- 5024598012
- Fax
- 5024598021
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| RICHARD A PAPE | DMD MS | 1053312066 |
| WILLIAM M EPSTEIN | DMD | 1336140862 |
| JULIE M HARRIS | DMD | 1154322683 |
| DR. NATHAN FREDERICK WALTERS | DMD | 1265424907 |
| DR. CHRISTOPHER C BABCOCK | DMD MD | 1487646139 |
| DR. CHRISTOPHER E NOONAN | DMD MD | 1700879095 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.