| Mortenson Family Dental Center - Independence, Llc | |
|
2052 Harris Pike Independence KY 41051-7783 | |
| (859) 898-2255 | |
| (859) 898-2730 |
| Full Name | Mortenson Family Dental Center - Independence, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2052 Harris Pike, Independence, Kentucky |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental Center - Independence, Llc 2052 Harris Pike Independence KY 41051-7783 Ph: (859) 898-2255 | Mortenson Family Dental Center - Independence, Llc 2052 Harris Pike Independence KY 41051-7783 Ph: (859) 898-2255 |
| NPI Number | 1760920805 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760920805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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