Mortimer Family Dentistry, PC
NPI 1417121732 · General Practice Dentistry · Burton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mortimer Family Dentistry, PC is a General Practice Dentistry organization in Burton, MI (NPI 1417121732).
Provider details
- NPI number
- 1417121732
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Scott Mortimer, President(810) 743-5131
- License
- 2901014445 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2015-07-15
Frequently asked questions
- What is Mortimer Family Dentistry, PC's NPI number?
- Mortimer Family Dentistry, PC's National Provider Identifier (NPI) is 1417121732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mortimer Family Dentistry, PC?
- Mortimer Family Dentistry, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mortimer Family Dentistry, PC located?
- Mortimer Family Dentistry, PC's practice location on file with NPPES is 4495 S Center Rd, Burton, MI 48519-1417.
- What is Mortimer Family Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Mortimer Family Dentistry, PC is (810) 743-5131.
- Does Mortimer Family Dentistry, PC accept Medicare?
- Mortimer Family Dentistry, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mortimer Family Dentistry, PC?
- The authorized official listed on Mortimer Family Dentistry, PC's NPPES record is Scott Mortimer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mortimer Family Dentistry, PC's NPI active?
- Yes — Mortimer Family Dentistry, PC's NPI (1417121732) is active in the NPPES registry as of the last update on 2015-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.