1720155591 NPI number — .MORTENSON FAMILY DENTAL CENTER

Table of content: (NPI 1720155591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720155591 NPI number — .MORTENSON FAMILY DENTAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
.MORTENSON FAMILY DENTAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720155591
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 437169
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40253-7169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-245-7103
Provider Business Mailing Address Fax Number:
502-253-2202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 OUTER LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40219-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-966-8638
Provider Business Practice Location Address Fax Number:
502-964-7309
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORTENSON
Authorized Official First Name:
OWEN
Authorized Official Middle Name:
WAYNE
Authorized Official Title or Position:
DENTIST OWNER
Authorized Official Telephone Number:
502-245-8627

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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