| 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 | |
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 |