| Mortenson Family Dental Center - Georgetown, Pllc | |
|
1508 Oxford Dr Georgetown KY 40324-9266 | |
| (502) 863-0880 | |
| (502) 867-7363 |
| Full Name | Mortenson Family Dental Center - Georgetown, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1508 Oxford Dr, Georgetown, Kentucky |
| Authorized Official Name and Position | Steven James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental Center - Georgetown, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center - Georgetown, Pllc 1508 Oxford Dr Georgetown KY 40324-9266 Ph: (502) 863-0880 |
| NPI Number | 1669774022 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669774022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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