MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC NPI 1952312118

NPI Information

MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC is a dental clinic center in Shelbyville, KY. MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC NPI is 1952312118. The provider is registered as an organization entity type.

The provider's business location address is:

130 STONECREST RD
SUITE 101
SHELBYVILLE, KY
ZIP 40065-126
Phone: (502) 633-1584
Fax: (502) 633-1509

The provider's authorized official is Stephen 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 8/11/2006 and was last updated on 8/18/2014.

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:

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