Timothy W. Logan, D.m.d., P.s.c. is a Oral and Maxillofacial Dental Clinic in Louisville, Kentucky. It is located at 9800 Shelbyville Rd, Suite 202, Louisville, KY and its contact number is 502-429-0526. The authorized person for Timothy W. Logan, D.m.d., P.s.c. is Dr. Timothy Wilson Logan
who is Owner of the clinic and their contact number is 502-429-0526. The primary license number for Timothy W. Logan, D.m.d., P.s.c. is 5015 (Oral and Maxillofacial Surgery) in Kentucky. Timothy W. Logan, D.m.d., P.s.c. Clinic deals with 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.
Complete Clinic Profile:
Timothy W. Logan, D.m.d., P.s.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Timothy W. Logan, D.m.d., P.s.c.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
9800 Shelbyville Rd, Suite 202, Louisville, Kentucky, 40223-5440
Phone:
502-429-0526
Fax:
502-429-0532
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Timothy Wilson Logan
Position:
Owner
Contact Number:
502-429-0526
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Timothy W. Logan, D.m.d., P.s.c. clinic are as mentioned below.
NPI Number:
1427349687
NPI Enumeration Date:
22 Apr, 2011
NPI Last Update On:
22 Apr, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy W. Logan, D.m.d., P.s.c. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
5015
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1548227655
Other
Npi Type 1
000000049874
Other
Blue Cross/blue Shiel
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Timothy W. Logan, D.m.d., P.s.c. 9800 Shelbyville Road, Suite 202 Louisville, Kentucky
Zip:
40223-5440
Phone Number:
502-429-0526
Fax Number:
502-429-0532
Patients can reach Timothy W. Logan, D.m.d., P.s.c. at 9800 Shelbyville Rd, Suite 202, Louisville, Kentucky or can call to book an appointment on 502-429-0526. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.