| Mortenson Family Dental Center- Carrollton Pllc | |
| 
					2482 Hwy 227 Carrollton KY 41008-8048  | |
| (502) 732-0333 | |
| (502) 732-0328 | 
| Full Name | Mortenson Family Dental Center- Carrollton Pllc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 2482 Hwy 227, Carrollton, Kentucky | 
| Authorized Official Name and Position | Stephen James (CFO) | 
| Authorized Official Contact | 5022548504 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mortenson Family Dental Center- Carrollton Pllc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8501  | Mortenson Family Dental Center- Carrollton Pllc 2482 Hwy 227 Carrollton KY 41008-8048 Ph: (502) 732-0333  | 
| NPI Number | 1831201938 | 
|---|---|
| Provider Enumeration Date | 08/31/2006 | 
| Last Update Date | 06/16/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831201938 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
Sy Dan Nguyen, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Us Highway 27, Carrollton, KY 41008 Phone: 502-732-5969 Fax: 502-732-8968  | |
Ann Nesmith Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 Us Highway 227, Carrollton, KY 41008 Phone: 502-732-5506 Fax: 502-732-8953  | |
Philip V Habas Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Highland Ave, Suite L, Carrollton, KY 41008 Phone: 502-732-5506  |