Individual provider · Type 1 NPI

Samuel A. Mortensen, D.M.D

General Practice Dentistry · Phoenix, AZ

NPI number 1427240282 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1200 Map

Fax (602) 200-5383

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7351 (AZ)
General Practice Dentistry 1223G0001XDEN.00201822 (CO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1427240282

Samuel A. Mortensen, D.M.D's National Provider Identifier is 1427240282, issued on Aug 15, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 29, 2015.