Organization · Type 2 NPI

Mortenson Family Dental

Dental Clinic/Center · Louisville, KY

NPI number 1407968159 Active

Practice location

8711 Old Bardstown Rd
Louisville, KY 40291-4435

Call (502) 231-4633 Map

Fax (502) 231-4722

Mailing address

134 N Evergreen Rd, Suite 102
Middletown, KY 40243-1487

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1407968159

Mortenson Family Dental's National Provider Identifier is 1407968159, issued on Aug 31, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Louisville, KY. The record was last updated on Aug 22, 2020.