| Mortensonfamilydentalcenter-buechel, Pllc | |
|
4311 Bardstown Rd Suite 102 Louisville KY 40218-3233 | |
| (502) 491-0283 | |
| Not Available |
| Full Name | Mortensonfamilydentalcenter-buechel, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4311 Bardstown Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Steve James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mortensonfamilydentalcenter-buechel, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortensonfamilydentalcenter-buechel, Pllc 4311 Bardstown Rd Suite 102 Louisville KY 40218-3233 Ph: (502) 491-0283 |
| NPI Number | 1326335084 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326335084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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