| Mortenson Family Dental Center | |
|
6408 W Hwy 146 Crestwood KY 40014 | |
| (502) 243-0123 | |
| Not Available |
| Full Name | Mortenson Family Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6408 W Hwy 146, Crestwood, 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 Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center 6408 W Hwy 146 Crestwood KY 40014 Ph: (502) 243-0123 |
| NPI Number | 1699922849 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699922849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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