| Mortenson Family Dental Center - Bardstown, Pllc | |
|
798 Portland Ave Bardstown KY 40004-2539 | |
| (502) 348-7378 | |
| Not Available |
| Full Name | Mortenson Family Dental Center - Bardstown, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 798 Portland Ave, Bardstown, Kentucky |
| 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 - Bardstown, Pllc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Mortenson Family Dental Center - Bardstown, Pllc 798 Portland Ave Bardstown KY 40004-2539 Ph: (502) 348-7378 |
| NPI Number | 1265722672 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265722672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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