Mortenson Family Dental Center - Elizabethtown North, Pllc | |
2110 N Dixie Hwy Elizabethtown KY 42701-8811 | |
(270) 982-4433 | |
Not Available |
Full Name | Mortenson Family Dental Center - Elizabethtown North, Pllc |
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Speciality | Clinic/center - Dental |
Location | 2110 N Dixie Hwy, Elizabethtown, Kentucky |
Authorized Official Name and Position | Steve James (CFO) |
Authorized Official Contact | 5022548504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mortenson Family Dental Center - Elizabethtown North, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8500 | Mortenson Family Dental Center - Elizabethtown North, Pllc 2110 N Dixie Hwy Elizabethtown KY 42701-8811 Ph: (270) 982-4433 |
NPI Number | 1073925715 |
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Provider Enumeration Date | 05/29/2014 |
Last Update Date | 05/29/2014 |
Identifier | Type | State | Issuer |
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1073925715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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