Timothy W Logan
DMD | Oral and Maxillofacial Surgeon
9800 Shelbyville Rd, Suite 202, Louisville
Kentucky, 40223-2977
502-429-0526 502-429-0532
Maps & DirectionsTimothy W Logan 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 Timothy W Logan is
5015 for Oral and Maxillofacial Surgery in Kentucky. His current practice location is
9800 Shelbyville Rd, Suite 202, Louisville. Patients can reach him at
502-429-0526.
Timothy W Logan 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:
Timothy W Logan 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.
| Name: | Timothy W Logan |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 9800 Shelbyville Rd, Suite 202, Louisville,
Kentucky, 40223-2977 |
| Phone: | 502-429-0526 |
| Fax: | 502-429-0532 |
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 are as mentioned below.
| NPI Number: | 1548227655 |
| NPI Enumeration Date: | 01 May, 2006 |
| 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 Timothy W Logan are as mentioned below.
| License Number | Specialization | State | Status | |
| 5015 | Oral and Maxillofacial Surgery | Kentucky | Primary | |
| 12010128A | Oral and Maxillofacial Surgery | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy W Logan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000049874 | Other | | BLUE CROSS BLUE SHIELD |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9800 Shelbyville Rd, Suite 202
Louisville, Kentucky |
| Zip: | 40223-2977 |
| Phone Number: | 502-429-0526 |
| Fax Number: | 502-429-0532 |
Patients can reach Timothy W Logan at
9800 Shelbyville Rd, Suite 202, Louisville, Kentucky or can
call to book an appointment on 502-429-0526.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.