Mortenson Family Dental

LBN: Mortenson Family Dental
Mortenson Family Dental is an health care organization with primary practice located at 1430 Poplar Level Rd , Louisville KY 40217-1345. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Mortenson Family Dental can be contacted via phone (502) 636-0311, or through Mortenson, Owen Wayne via phone (502) 636-0311.

Contact Information

Primary practice address
1430 Poplar Level Rd Louisville KY 40217-1345
Fax: (502) 636-8424
Website:
Authorized official contact:
Name: Mortenson, Owen Wayne

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1790897882
LBN Legal business name Mortenson Family Dental
DBA Doing business as
Authorized official Mortenson, Owen Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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