Timothy 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.