David R. Mortensen, D.M.D.

Dentist · Park City, IL

Individual Active NPI

NPI number 1629281134

Practice location

355 Greenleaf Ave
Suite a
Park City, IL 60085-5708
Phone
(847) 244-4455

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NPI record

NPI
1629281134
Entity type
Individual (Type 1)
Enumeration date
May 8, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Mailing address

2013 Greystem Cir
Apt #207
Gurnee, IL 60031-9336
Phone
(847) 244-4455

About Dr. Mortensen

David R. Mortensen, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 355 Greenleaf Ave, Suite a, Park City, IL 60085-5708. The NPI number 1629281134 was assigned on May 8, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of David R. Mortensen, D.M.D.?

The NPI number is 1629281134.

What is the phone number of Dr. Mortensen?

The phone number listed for the practice location is (847) 244-4455.

Where is Dr. Mortensen located?

355 Greenleaf Ave, Suite a, Park City, IL 60085-5708.

What is the taxonomy code for Dr. Mortensen?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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