| Mortenson Family Dental Center - Lawrenceburg Llc | |
|
1019 West Eads Parkway Us 50 Lawrenceburg IN 47102-1842 | |
| (502) 254-8500 | |
| (502) 805-1957 |
| Full Name | Mortenson Family Dental Center - Lawrenceburg Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1019 West Eads Parkway Us 50, Lawrenceburg, Indiana |
| Authorized Official Name and Position | Stephen 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 - Lawrenceburg Llc 1019 West Eads Parkway Us 50 Lawrenceburg IN 47102-1842 Ph: (502) 254-8500 | Mortenson Family Dental Center - Lawrenceburg Llc 1019 West Eads Parkway Us 50 Lawrenceburg IN 47102-1842 Ph: (502) 254-8500 |
| NPI Number | 1508242827 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508242827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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