Organization · Type 2 NPI

Mortenson Family Dental Center-Jeffersontown, PLLC

Dental Clinic/Center · Louisville, KY

NPI number 1023274107 Active

Practice location

3701 Hopewell Rd
Louisville, KY 40299-5392

Call (502) 266-5661 Map

Mailing address

PO Box 437169
Louisville, KY 40253-7169

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1023274107

Mortenson Family Dental Center-Jeffersontown, PLLC's National Provider Identifier is 1023274107, issued on Jul 29, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Louisville, KY. The record was last updated on Jul 29, 2008.