| Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc | |
|
4740 Dixie Hwy Louisville KY 40216-2656 | |
| (502) 447-8992 | |
| Not Available |
| Full Name | Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4740 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc 4740 Dixie Hwy Louisville KY 40216-2656 Ph: (502) 447-8992 | Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc 4740 Dixie Hwy Louisville KY 40216-2656 Ph: (502) 447-8992 |
| NPI Number | 1013309905 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013309905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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