MORTENSON FAMILY DENTAL CENTER - GEORGETOWN PLLC NPI 1669774022

NPI Information

  • NPI: 1669774022
  • Provider Name: MORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1508 OXFORD DR
    GEORGETOWN, KY
    ZIP 40324
  • Phone: (502) 863-0880

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NPI Details

MORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC is a dental clinic center in Georgetown, KY. MORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC NPI is 1669774022. The provider is registered as an organization entity type.

The provider's business location address is:

1508 OXFORD DR
GEORGETOWN, KY
ZIP 40324-266
Phone: (502) 863-0880
Fax: (502) 867-7363

The provider's authorized official is Steven James .
The authorized official title is Cfo and has the following contact phone number (502) 254-8500.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 7/19/2018.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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