| Mortenson Family Dental Ctr-jeffersonville | |
|
2917 Hwy 62 Jeffersonville IN 47130 | |
| (812) 288-1000 | |
| Not Available |
| Full Name | Mortenson Family Dental Ctr-jeffersonville |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2917 Hwy 62, Jeffersonville, Indiana |
| Authorized Official Name and Position | Owen Wayne Mortenson (OWNER PROVIDER) |
| Authorized Official Contact | 5022458627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortenson Family Dental Ctr-jeffersonville 134 N Evergreen Rd Suite 102 Middletown KY 40243-1487 Ph: (502) 245-7103 | Mortenson Family Dental Ctr-jeffersonville 2917 Hwy 62 Jeffersonville IN 47130 Ph: (812) 288-1000 |
| NPI Number | 1447458070 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447458070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Indiana) | Primary |
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