MORTENSON FAMILY DENTAL – NPI #1487757761
Clinic/Center

MORTENSON FAMILY DENTAL is an AHC clinic located in CARLISLE, KY. NPPES has assigned the NPI number 1487757761 to MORTENSON FAMILY DENTAL on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MORTENSON FAMILY DENTAL below.

NPI Profile for
MORTENSON FAMILY DENTAL

NPI Number
1487757761
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MORTENSON FAMILY DENTAL
Primary location
110 N. LOCUST ST
CARLISLE, KY 40311
Phone: (859) 289-5418 Fax: (859) 289-8153
Mailing address
134 N EVERGREEN RD
SUITE102
MIDDLETOWN, KY 40243-1487
Phone: (502) 245-7103 Fax: (502) 253-2202
Organization Subpart
No
Authorized Official
OWEN MORTENSON
GEN. DENTIST/OWNER
Phone: (502) 245-8627
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.