Organization · Type 2 NPI

Mortenson Family Dental

Dental Clinic/Center · Carlisle, KY

NPI number 1487757761 Active

Practice location

110 N. Locust St
Carlisle, KY 40311

Fax (859) 289-8153

Mailing address

134 N Evergreen Rd, SUITE102
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 1487757761

Mortenson Family Dental's National Provider Identifier is 1487757761, issued on Sep 5, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Carlisle, KY. The record was last updated on Aug 22, 2020.