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NPI 1720155591

OrganizationActive

.mortenson Family Dental Center

NPI 1720155591 · Dental Clinic/Center · Louisville, KY

Provider details

NPI number: 1720155591
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Owen Mortenson, Dentist Owner

Practice location

4801 Outer Loop

Louisville, KY 40219-3201

Phone: (502) 966-8638

Fax: (502) 964-7309

More KY providers

Mailing address

Po Box 437169

Louisville, KY 40253-7169

Registry dates

Enumerated: 2006-11-29
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

.mortenson Family Dental Center — NPI 1720155591, Louisville, KY | NPI Central