Mortenson Family Dental Center - Shelbyville Pllc
NPI #1952312118 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1952312118
- Entity Type
- Organization
- Organization Name
- Mortenson Family Dental Center - Shelbyville Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Aug 18, 2014
Practice Location
- Address
- 130 STONECREST RD
- Address 2
- SUITE 101
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065-8126
- Phone
- (502) 633-1584
Authorized Official
- Name
- STEPHEN JAMES
- Title
- CFO
- Phone
- (502) 254-8504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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