Mortenson Family Dental Center-elizabethtown,pllc | |
2407 Ring Rd Suite 137 Elizabethtown KY 42701-5937 | |
(270) 360-0480 | |
(270) 360-0490 |
Full Name | Mortenson Family Dental Center-elizabethtown,pllc |
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Speciality | Clinic/center - Dental |
Location | 2407 Ring Rd, Elizabethtown, Kentucky |
Authorized Official Name and Position | Steve C James (COO) |
Authorized Official Contact | 5022548504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mortenson Family Dental Center-elizabethtown,pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center-elizabethtown,pllc 2407 Ring Rd Suite 137 Elizabethtown KY 42701-5937 Ph: (270) 360-0480 |
NPI Number | 1033374228 |
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Provider Enumeration Date | 07/28/2008 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033374228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 3 days ago
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