TIMOTHY W. LOGAN, D.M.D., P.S.C.
Dentist at Shelbyville Rd, Louisville, KY

License number
Kentucky 5015
Category
Dentist
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. TIMOTHY WILSON LOGAN D.M.D.
Title: OWNER
Phone: (502) 429-0526
Address
Address
9800 Shelbyville Rd SUITE 202, Louisville, KY 40223
National Provider ID: 1427349687
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIMOTHY W. LOGAN DMD, P.S.C

9800 Shelbyville Rd, Louisville, KY 40223

Industry:
Dentist's Office
Doing business as:
Timothy W Logan Inc
Phone:
(502) 429-0526 (Phone)
State ID:
0295595
Business type:
Kentucky Professional Services Corp
Surgical Assistants:
Timothy W Logan (Sole Officer, Family And General Dentistry, Oral & Maxillofacial Surgeon, Owner),Dmd Timothy W. Logan (Director),Denise C. Logan (Registered Nurse),...
Agent:
John Winston Markham,136 St Matthews Ave, Louisville, KY 40207 (Physical)

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