MORTENSON FAMILY DENTAL CENTER – NPI #1699922849
Clinic/Center

MORTENSON FAMILY DENTAL CENTER is an AHC clinic located in CRESTWOOD, KY. NPPES has assigned the NPI number 1699922849 to MORTENSON FAMILY DENTAL CENTER on August 19, 2008. 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

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 CENTER below.

NPI Profile for
MORTENSON FAMILY DENTAL CENTER

NPI Number
1699922849
Enumeration Date

(about 18 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 CENTER
Primary location
6408 W HWY 146
CRESTWOOD, KY 40014
Phone: (502) 243-0123 Fax:
Mailing address
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone: Fax:
Organization Subpart
No
Authorized Official
STEVE JAMES
COO
Phone: (502) 254-8504
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.