Mortenson Family Dental Center - Simpsonville, Pllc | |
137 Buck Creek Rd Simpsonville KY 40067-6674 | |
(502) 722-2110 | |
(502) 722-2116 |
Full Name | Mortenson Family Dental Center - Simpsonville, Pllc |
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Speciality | Dentist - General Practice |
Location | 137 Buck Creek Rd, Simpsonville, Kentucky |
Authorized Official Name and Position | Ronel Mccombs (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5022548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mortenson Family Dental Center - Simpsonville, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8500 | Mortenson Family Dental Center - Simpsonville, Pllc 137 Buck Creek Rd Simpsonville KY 40067-6674 Ph: (502) 722-2110 |
NPI Number | 1285978288 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/15/2012 |
Identifier | Type | State | Issuer |
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1285978288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |