Mortenson Family Dental | |
1746 Highway 44 E Shepherdsville KY 40165-6131 | |
(502) 955-7102 | |
(502) 921-4068 |
Full Name | Mortenson Family Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 1746 Highway 44 E, Shepherdsville, Kentucky |
Authorized Official Name and Position | Owen Wayne Mortenson (GEN DENTIST/OWNER) |
Authorized Official Contact | 5022458627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mortenson Family Dental 134 N Evergreen Rd Suite 102 Middletown KY 40243-1487 Ph: (502) 245-7103 | Mortenson Family Dental 1746 Highway 44 E Shepherdsville KY 40165-6131 Ph: (502) 955-7102 |
NPI Number | 1306949466 |
---|---|
Provider Enumeration Date | 09/06/2006 |
Last Update Date | 04/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306949466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 9 days ago
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