Individual provider · Type 1 NPI
Brian Steven Mortenson, DMD
Pediatric Dentistry · Fort Hood, TX
NPI number
1083161665
Active
Practice location
36014 Wratten Ave.
Fort Hood, TX 76544
Mailing address
6895 S Captiva Cv
Cottonwood Heights, UT 84121-3473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 32124 (TX) |
| Pediatric Dentistry Primary | 1223P0221X | 11672604-9922 (UT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Fort Hood
About NPI 1083161665
Brian Steven Mortenson, DMD's National Provider Identifier is 1083161665, issued on Sep 1, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Hood, TX. The record was last updated on May 7, 2020.