| Mortenson Family Dental Center-jeffersontown, Pllc | |
|
3701 Hopewell Rd Louisville KY 40299-5392 | |
| (502) 266-5661 | |
| Not Available |
| Full Name | Mortenson Family Dental Center-jeffersontown, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3701 Hopewell Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Steve James (COO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental Center-jeffersontown, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center-jeffersontown, Pllc 3701 Hopewell Rd Louisville KY 40299-5392 Ph: (502) 266-5661 |
| NPI Number | 1023274107 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023274107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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