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

Theodore E Logan Jr., DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1245231778

Theodore E Logan Jr., DMD is an Oral and Maxillofacial Surgery (Dentist) in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3101 Breckenridge Ln Ste 2D
Louisville, KY 40220-2742
Phone: (502) 459-8012
Fax: (502) 459-8021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4056 (KY)

Record details

NPI number1245231778
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 13, 2026

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