NPI 1013309905

Mortenson Family Dental Center - Dixie at Rockford Lane, PLLC

Organisation Dentist Louisville, KY

Practice location

Address: 4740 Dixie Hwy, Louisville, KY 40216-2656
Phone: (502) 447-8992

Authorised official

Name: Stephen James
Title: Cfo
Phone: (502) 254-8500

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1013309905
Entity type: Organization
NPI issued: 2 Mar 2015
Record last updated: 2 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.