Mark Mortenson, DMD
NPI #1811228307 in Shepherdsville, Kentucky
Provider Information
- NPI Number
- 1811228307
- Entity Type
- Individual
- Name
- Mark Mortenson, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 22, 2010
- Last Updated
- Sep 25, 2013
Practice Location
- Address
- 1746 HIGHWAY 44 E
- City
- Shepherdsville
- State
- Kentucky
- ZIP Code
- 40165-6131
- Phone
- (502) 543-2278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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