Mortenson Family Dental
NPI #1306949466 in Shepherdsville, Kentucky
Provider Information
- NPI Number
- 1306949466
- Entity Type
- Organization
- Organization Name
- Mortenson Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Apr 21, 2009
Practice Location
- Address
- 1746 HIGHWAY 44 E
- City
- Shepherdsville
- State
- Kentucky
- ZIP Code
- 40165-6131
- Phone
- (502) 955-7102
Authorized Official
- Name
- DR. OWEN WAYNE MORTENSON, DMD
- Title
- GEN DENTIST/OWNER
- Phone
- (502) 245-8627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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