Dr Scott Lee Mortensen, DDS | |
1058 College Dr, New Town, ND 58763-9112 | |
(701) 627-4750 | |
Not Available |
Full Name | Dr Scott Lee Mortensen |
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Gender | Male |
Speciality | Dentist |
Location | 1058 College Dr, New Town, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427496579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2178 (North Dakota) | Primary |
Entity Name | Elbowoods Memorial Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831365519 PECOS PAC ID: 1052477494 Enrollment ID: O20090310000122 |
Mailing Address | Practice Location Address |
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Dr Scott Lee Mortensen, DDS 1058 College Dr, New Town, ND 58763-9112 Ph: (701) 627-4750 | Dr Scott Lee Mortensen, DDS 1058 College Dr, New Town, ND 58763-9112 Ph: (701) 627-4750 |
Robert Daniel Kifer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1058 College Dr, New Town, ND 58763 Phone: 701-627-7927 | |
Dr. Lawrence Kent Ray, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Minni Tohe Dr, New Town, ND 58763 Phone: 701-627-7920 Fax: 701-627-3907 | |
Bridget Peters, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1058 College Dr, New Town, ND 58763 Phone: 701-627-4750 |