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Theodore E Logan Jr., DMD

Oral and Maxillofacial Surgery (Dentist) in Louisville, KY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245231778

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Registry record

Entity type Individual (Type 1)
Name Theodore E Logan Jr.
Credential DMD
Sex Male
Practice address 3101 Breckenridge Ln, Ste 2d, Louisville, KY, 40220
Fax (502) 459-8021
Enumeration date Aug 9, 2005
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 4056 (KY) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier Type State Issuer
64040561 Medicaid KY -
1055007 Other KY PASSPORT
60040565 Other KY MEDICAID DENTAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Theodore Logan's NPI record?
Cross-check NPI 1245231778 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1245231778 active?
Yes, as of the latest NPPES snapshot, NPI 1245231778 is active (record last updated 2007-07-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.