| 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 | |
Dhda Providerco, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13104 W Highway 42, Prospect, KY 40059 Phone: 502-228-0234 |