MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH PLLC NPI 1073925715

NPI Information

NPI: 1073925715
Provider Name: MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2110 N DIXIE HWY
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 982-4433
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MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC is a dental clinic center in Elizabethtown, KY. MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC NPI is 1073925715. The provider is registered as an organization entity type.

The provider's business location address is:

2110 N DIXIE HWY
ELIZABETHTOWN, KY
ZIP 42701-811
Phone: (270) 982-4433

The provider's authorized official is Steve James .
The authorized official title is Cfo and has the following contact phone number (502) 254-8504.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 5/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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