| Mortenson Family Dental | |
|
1746 Highway 44 E Shepherdsville KY 40165-6131 | |
| (502) 955-7102 | |
| (502) 921-4068 |
| Full Name | Mortenson Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1746 Highway 44 E, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Owen Wayne Mortenson (GEN DENTIST/OWNER) |
| Authorized Official Contact | 5022458627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental 134 N Evergreen Rd Suite 102 Middletown KY 40243-1487 Ph: (502) 245-7103 | Mortenson Family Dental 1746 Highway 44 E Shepherdsville KY 40165-6131 Ph: (502) 955-7102 |
| NPI Number | 1306949466 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306949466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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