THEODORE LOGAN JR., DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1245231778
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 4056 (KY) |
Frequently Asked Questions
NPI 1245231778 is the National Provider Identifier for THEODORE LOGAN JR., DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Louisville, KY. This NPI was enumerated on August 9, 2005.
THEODORE LOGAN JR., DMD practices at 3101 BRECKENRIDGE LN, STE 2D, Louisville, KY 40220.
Quick Facts
- NPI
- 1245231778
- Type
- Individual
- Enumerated
- Aug 9, 2005
- Last Updated
- Jul 8, 2007
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