Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy W. Logan, DMD, PSC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1427349687

Timothy W. Logan, DMD, PSC is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9800 Shelbyville Rd Ste 202
Louisville, KY 40223-5440
Phone: (502) 429-0526
Fax: (502) 429-0532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5015 (KY)

Record details

NPI number1427349687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Logan — Owner · (502) 429-0526
NPI enumeratedApril 22, 2011
Last updated in NPPESApril 22, 2011
Mailing address9800 Shelbyville Road, Suite 202, Louisville, KY 40223-5440

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