Mortenson Family Dental Center - Simpsonville, Pllc
NPI #1285978288 in Simpsonville, Kentucky
Provider Information
- NPI Number
- 1285978288
- Entity Type
- Organization
- Organization Name
- Mortenson Family Dental Center - Simpsonville, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Nov 15, 2012
Practice Location
- Address
- 137 BUCK CREEK RD
- City
- Simpsonville
- State
- Kentucky
- ZIP Code
- 40067-6674
- Phone
- (502) 722-2110
Authorized Official
- Name
- RONEL MCCOMBS
- Title
- CREDENTIALING SPECIALIST
- Phone
- (502) 254-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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