| Mortenson Family Dental | |
|
110 N. Locust St Carlisle KY 40311 | |
| (859) 289-5418 | |
| (859) 289-8153 |
| Full Name | Mortenson Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 N. Locust St, Carlisle, Kentucky |
| Authorized Official Name and Position | Owen Wayune Mortenson (GEN. DENTIST/OWNER) |
| Authorized Official Contact | 5022458627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental 134 N Evergreen Rd Suite102 Middletown KY 40243-1487 Ph: (502) 245-7103 | Mortenson Family Dental 110 N. Locust St Carlisle KY 40311 Ph: (859) 289-5418 |
| NPI Number | 1487757761 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487757761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Carlisle Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Locust St, Carlisle, KY 40311 Phone: 859-289-5418 Fax: 859-289-8153 | |
Carlisle Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Locust St, Carlisle, KY 40311 Phone: 859-289-5418 |