Mortenson Family Dental
NPI #1477665156 in New Albany, Indiana
Provider Information
- NPI Number
- 1477665156
- Entity Type
- Organization
- Organization Name
- Mortenson Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2441 STATE ST
- City
- New Albany
- State
- Indiana
- ZIP Code
- 47150-4962
- Phone
- (812) 941-8500
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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