Theodore E. Logan, DMD
Oral and Maxillofacial Surgery (Dentist) · Louisville, KY
Theodore E. Logan, DMD is an oral and maxillofacial surgery (dentist) with a practice address in Louisville, Kentucky, and NPI 1245231778, issued on Aug 9, 2005. Check the license (Kentucky 4056, as entered in NPPES) with the Kentucky board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Theodore E. Logan
- Credential
- DMD
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License number
- 4056 KY
Self-reported in NPPES; status is on the state search - Practice location
- 3101 Breckenridge LN, Louisville, KY 40220
- Phone
- (502) 459-8012
- Enumerated
- Aug 9, 2005
- Record last updated
- Jul 13, 2026
- Fax
- (502) 459-8021
- Medicaid ID
- 64040561 KY
- Entity
- Type 1 · individual
8 nearest oral and maxillofacial surgery (dentist) records → All 121 in Kentucky → Look up another NPI →
Also registered at 3101 Breckenridge LN
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sandra Bailey, CRNACertified Registered Nurse Anesthetist1376530428
- Diana Banks, ARNP, CDEFamily Nurse Practitioner1508831561
- Mark Behr, MDAnesthesiology Physician1982691028
- Mark Blair, D.M.D.General Practice Dentistry1790805562
- Joan Deener, CRNACertified Registered Nurse Anesthetist1245227396
- Christopher Ehrler, CRNACertified Registered Nurse Anesthetist1457348484
Verify Theodore E. Logan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license 4056Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Theodore E. Logan among 121 oral and maxillofacial surgery (dentist) records in Kentucky
Theodore E. Logan, DMD is one of 121 oral and maxillofacial surgery (dentist) records with a practice address in Kentucky. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 87% newer
- In a Medicare fileNo · 80% of these records are
- In the CMS Doctors and Clinicians fileNo · 17% of these records are
- Record last updated2026 · 76% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral and Maxillofacial Surgery (Dentist) providers in Kentucky
There are 121 oral and maxillofacial surgery (dentist) records in Kentucky. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 121 in Kentucky → Every provider in Louisville → Oral and Maxillofacial Surgery (Dentist) nationwide →
The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes
- William Epstein, DMDLouisville, KY 402201336140862
- Julie Harris, DMDLouisville, KY 402201154322683
- Richard Pape, DMD MSLouisville, KY 402201053312066
- Lawrence SivoriLouisville, KY 402201033372057
- Reza Hadioonzadeh, DDSLouisville, KY 402191346892734
- James Klemens, DDS, MDLouisville, KY 402191619070554
- Joseph Mascaro, DMDLouisville, KY 402191588747687
- Maneesh Mohan, DMDLouisville, KY 402191154310985
Common questions
What is Theodore E. Logan, DMD's NPI number?
Theodore E. Logan, DMD's National Provider Identifier (NPI) is 1245231778, issued on Aug 9, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Theodore E. Logan, DMD located?
The NPPES record lists a practice address at 3101 Breckenridge LN, Louisville, KY, 40220. Phone: (502) 459-8012. Providers update this record themselves, so call before visiting.
How can I verify Theodore E. Logan, DMD's license?
NPPES lists Kentucky license number 4056, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.