| Mortenson Family Dental Center-lebanon Junction, Pllc | |
|
11737 S Preston Hwy Lebanon Junction KY 40150-8420 | |
| (502) 833-4664 | |
| Not Available |
| Full Name | Mortenson Family Dental Center-lebanon Junction, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11737 S Preston Hwy, Lebanon Junction, Kentucky |
| Authorized Official Name and Position | Steve 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-lebanon Junction, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center-lebanon Junction, Pllc 11737 S Preston Hwy Lebanon Junction KY 40150-8420 Ph: (502) 833-4664 |
| NPI Number | 1881969533 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881969533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Lebanon Junction Dental Center, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11737 S Preston Hwy, Lebanon Junction, KY 40150 Phone: 502-833-4664 |