Theodore E Logan Jr. is a Louisville, Kentucky based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Theodore E Logan Jr. is 4056 for Oral and Maxillofacial Surgery in Kentucky. His current practice location is 3101 Breckenridge Ln, Ste 2d, Louisville. Patients can reach him at 502-459-8012.
Theodore E Logan Jr. 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 Profile:
Theodore E Logan Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
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 are as mentioned below.
NPI Number:
1245231778
NPI Enumeration Date:
09 Aug, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore E Logan Jr. are as mentioned below.
License Number
Specialization
State
Status
4056
Oral and Maxillofacial Surgery
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Theodore E Logan Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
64040561
Medicaid
Kentucky
1055007
Other
Kentucky
PASSPORT
60040565
Other
Kentucky
MEDICAID DENTAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3101 Breckenridge Ln, Ste 2d Louisville, Kentucky
Zip:
40220-2742
Phone Number:
502-459-8012
Fax Number:
502-459-8021
Patients can reach Theodore E Logan Jr. at 3101 Breckenridge Ln, Ste 2d, Louisville, Kentucky or can call to book an appointment on 502-459-8012. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.