| Mortenson Family Dental | |
|
11708 Main St Middletown KY 40243-1426 | |
| (502) 245-8627 | |
| (502) 245-9395 |
| Full Name | Mortenson Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11708 Main St, Middletown, Kentucky |
| Authorized Official Name and Position | Owen Wayne Mortenson (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 5022458627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental 11708 Main St Middletown KY 40243-1426 Ph: (502) 245-8627 | Mortenson Family Dental 11708 Main St Middletown KY 40243-1426 Ph: (502) 245-8627 |
| NPI Number | 1760593602 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760593602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Oral Surgery Group Of Middletown, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 134 Evergreen Rd, Middletown, KY 40243 Phone: 502-410-1702 | |
Engilman Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 N Evergreen Rd, Suite 101, Middletown, KY 40243 Phone: 502-253-2201 Fax: 502-253-2202 | |
Periodontic & Endodontic Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11708 Main St, Middletown, KY 40243 Phone: 502-410-1702 |