| Mortenson Family Dental Center-forest Green, Pllc | |
|
10031 Forest Green Blvd Louisville KY 40223-5119 | |
| (502) 412-7587 | |
| (502) 412-7066 |
| Full Name | Mortenson Family Dental Center-forest Green, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10031 Forest Green Blvd, Louisville, Kentucky |
| Authorized Official Name and Position | Steve James (COO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental Center-forest Green, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center-forest Green, Pllc 10031 Forest Green Blvd Louisville KY 40223-5119 Ph: (502) 412-7587 |
| NPI Number | 1972779445 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972779445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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