Organization · Type 2 NPI

MFDC of Indiana, Inc

General Practice Dentistry · Scottsburg, IN

NPI number 1962065565 Active

Practice location

1606 W Mcclain Ave
Scottsburg, IN 47170

Call (502) 254-8500 Map

Mailing address

PO Box 437169
Louisville, KY 40253-7169

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

Another provider at this address

Garrett Lee Wilson, DMDGeneral Practice Dentistry Scottsburg, IN NPI 1780390807

Other general practice dentistry providers in Scottsburg

See all in Scottsburg →

NPI record

NPI: 1962065565
Entity type: Organization (Type 2)
Issued: Apr 18, 2019
Last updated: Sep 6, 2023
Status: Active

Other names

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Mortenson Family Dental - Scottsburg · doing business as
Mortenson Family Dental - Scottsburg · doing business as

Authorized official

Jeff Reibel
CFO
(502) 254-8500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962065565

MFDC of Indiana, Inc's National Provider Identifier is 1962065565, issued on Apr 18, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Scottsburg, IN. The record was last updated on Sep 6, 2023.