Mark Mortenson, DMD

General Practice Dentistry · Shepherdsville, KY

Individual Active NPI

NPI number 1811228307

Practice location

1746 Highway 44 E
Shepherdsville, KY 40165-6131
Phone
(502) 543-2278
Fax
(502) 531-9303

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NPI record

NPI
1811228307
Entity type
Individual (Type 1)
Enumeration date
January 22, 2010
Last updated
September 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8834 KY
Dentist 122300000X 8834 KY

Mailing address

PO Box 437169
Louisville, KY 40253-7169
Phone
(502) 254-8501
Fax
(502) 805-1957

About Dr. Mortenson

Mark Mortenson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1746 Highway 44 E, Shepherdsville, KY 40165-6131. The NPI number 1811228307 was assigned on January 22, 2010 and the record was last updated on September 25, 2013.

Dr. Mortenson lists 2 licenses in the registry: #8834 (KY) for General Practice Dentistry; #8834 (KY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Mortenson, DMD?

The NPI number is 1811228307.

What is the phone number of Dr. Mortenson?

The phone number listed for the practice location is (502) 543-2278.

Where is Dr. Mortenson located?

1746 Highway 44 E, Shepherdsville, KY 40165-6131.

What is the taxonomy code for Dr. Mortenson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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