Mortenson Family Dental in Middletown - Dental
Mortenson Family Dental - NPI 1407968159
Mortenson Family Dental is a Dental in Middletown, Kentucky. Mortenson Family Dental practices all healthcare services and medical treatments related to Dental. The NPI Number for Mortenson Family Dental is 1407968159. The last update date is 2020-08-22.
Mortenson Family Dental's current location address is 134 N Evergreen Rd, Middletown, Kentucky. You can contact this provider via phone number 5022457103 and fax number 5022532202. The mailing address for Mortenson Family Dental is 134 N Evergreen Rd, Middletown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mortenson Family Dental |
|---|---|
| Address | 134 N Evergreen Rd, Middletown, Kentucky |
| Phone Number | 5022457103 |
| Fax Number | 5022532202 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GEN. DENTI |
|---|---|
| Authorized Official Name | Mortenson Wayne Owen |
| Telephone Number | 5022458627 |
NPI Number Detail
| NPI Number | 1407968159 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 134 N Evergreen Rd |
|---|---|
| City | Middletown |
| State | Kentucky (KY) |
| Post Code | 402431487 |
| Phone Number | 5022457103 |
| Fax Number | 5022532202 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mortenson Family Dental by the Centers for Medicare & Medicaid Services?
The Mortenson Family Dental has been assigned the NPI (National Provider Identifier) 1407968159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Mortenson Family Dental's facilities are situated?
The facilities of Mortenson Family Dental are physically located at the following address: 134 N Evergreen Rd, Middletown, KY, 402431487.
What is Mortenson Family Dental's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mortenson Family Dental is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
On what date did the Mortenson Family Dental receive the assignment of its 1407968159 from the Centers for Medicare & Medicaid Services?
The Mortenson Family Dental was issued its 1407968159 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the details pertaining to Mortenson Family Dental last refreshed?
The information related to the Mortenson Family Dental, including its address, specialty, and other relevant details, was last updated on 2020-08-22.