| Mortenson Family Dental Center - Withamsville, Llc | |
|
1000 Ohio Pike Ste 101 Cincinnati OH 45245-2346 | |
| (513) 399-5337 | |
| (513) 914-4948 |
| Full Name | Mortenson Family Dental Center - Withamsville, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1000 Ohio Pike Ste 101, Cincinnati, Ohio |
| Authorized Official Name and Position | Jeff Reibel (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 - Withamsville, Llc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8500 | Mortenson Family Dental Center - Withamsville, Llc 1000 Ohio Pike Ste 101 Cincinnati OH 45245-2346 Ph: (513) 399-5337 |
| NPI Number | 1497265318 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497265318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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