| Mortenson Family Dental Center - Prospect Pllc | |
| 
					9219 Us Highway 42 Prospect KY 40059-8857  | |
| (502) 228-2709 | |
| (502) 228-9884 | 
| Full Name | Mortenson Family Dental Center - Prospect Pllc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 9219 Us Highway 42, Prospect, Kentucky | 
| Authorized Official Name and Position | Kathie Armstrong (DIRECTOR OF CREDENTIALING) | 
| Authorized Official Contact | 5022548501 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mortenson Family Dental Center - Prospect Pllc 9219 Us Highway 42 Prospect KY 40059-8857 Ph: (502) 228-2709  | Mortenson Family Dental Center - Prospect Pllc 9219 Us Highway 42 Prospect KY 40059-8857 Ph: (502) 228-2709  | 
| NPI Number | 1588768758 | 
|---|---|
| Provider Enumeration Date | 09/11/2006 | 
| Last Update Date | 04/14/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588768758 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Kentucky) | Secondary | 
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
Kids Dentistry - Prospect, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9217 Us Highway 42, Prospect, KY 40059 Phone: 502-228-4009  | |
Healthy & Bright Cosmetic And Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9509 Us Highway 42 Ste 102, Prospect, KY 40059 Phone: 502-228-3578  | |
Chandiramani Ortho Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10639 Meeting St Unit 101, Prospect, KY 40059 Phone: 502-396-2439  | |
Prospect Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9207 Us Highway 42 Ste F, Prospect, KY 40059 Phone: 502-228-4700  | |
Thomas R. Vivian Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10515 Meeting St, 104, Prospect, KY 40059 Phone: 502-420-2480 Fax: 502-420-2891  | |
Pediatric Dentisty Of Prospect, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12927 W Highway 42, Prospect, KY 40059 Phone: 502-292-1160 Fax: 502-292-1194  |