TIMOTHY W. LOGAN, D.M.D., P.S.C.
NPI 1427349687
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Q: What is Timothy W. Logan, D.M.D., P.S.C.'s NPI number?

The NPI number for Timothy W. Logan, D.M.D., P.S.C. is 1427349687. It was assigned to this organization in the NPPES registry on April 22, 2011.

Q: What is Timothy W. Logan, D.M.D., P.S.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since April 22, 2011

9800 SHELBYVILLE RD, SUITE 202, LOUISVILLE, KY 40223(502) 429-0526(502) 429-0532 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Timothy W. Logan, D.m.d., P.s.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY W. LOGAN, D.M.D., P.S.C. (NPI 1427349687) is a healthcare organization registered as an oral and maxillofacial surgery in Louisville, Kentucky and active in the NPI registry since April 2011. The organization lists Timothy Wilson Logan, Owner, as its authorized official.

NPPES Registry Identity

NPI1427349687

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameTIMOTHY W. LOGAN, D.M.D., P.S.C.

Location Address9800 SHELBYVILLE RD, SUITE 202Louisville, KY 40223-5440

Mailing Address9800 Shelbyville Road, Suite 202Louisville, KY 40223-5440 · (502) 429-0526 · Fax (502) 429-0532

Phone(502) 429-0526

Fax(502) 429-0532

Organization SubpartNo

Authorized OfficialTimothy Wilson LoganOwner · (502) 429-0526

Enumeration DateApril 22, 2011

✔ NPI 1427349687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in KY · 5015

Definition

An oral and maxillofacial surgery dentist specialized in 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.

9800 SHELBYVILLE RD, Louisville, KY 40223

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Other Identifiers 4

Medicare PIN17801601

Other000000049874Blue Cross/blue Shiel

Medicare UPINU30470

Other1548227655Npi Type 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY PEDIATRICS FOUNDATION, INC.

Allergy & Immunology

9800 SHELBYVILLE RD
LOUISVILLE, KY 40223

Jefferson County (502) 629-3320

JAMES L SUBLETT M.D.

Allergy & Immunology