Brent W Mortenson, DMD is an oral and maxillofacial surgery dentist in Louisville, KY with 31 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Brent W Mortenson, DMD NPI is 1356369169. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduation Year:1993
The provider's business location address is:
134 EVERGREEN RD
SUITE 103
LOUISVILLE, KY
ZIP 40243-487
Phone: (502) 410-1702
Fax: (502) 244-0817
The NPI 1356369169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/18/2006 and was last updated on 6/18/2014.