Allen Wayne Mortimer, DDS

General Practice Dentistry · Burton, MI

Individual Active NPI

NPI number 1972867851

Practice location

4495 S Center Rd
Burton, MI 48519-1417
Phone
(810) 743-5131
Fax
(810) 743-1111

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NPI record

NPI
1972867851
Entity type
Individual (Type 1)
Enumeration date
June 26, 2012
Last updated
June 26, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901020727 MI

About Dr. Mortimer

Allen Wayne Mortimer, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4495 S Center Rd, Burton, MI 48519-1417. The NPI number 1972867851 was assigned on June 26, 2012 and the record was last updated on June 26, 2012.

Dr. Mortimer lists a license in the registry: #2901020727 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Allen Wayne Mortimer, DDS?

The NPI number is 1972867851.

What is the phone number of Dr. Mortimer?

The phone number listed for the practice location is (810) 743-5131.

Where is Dr. Mortimer located?

4495 S Center Rd, Burton, MI 48519-1417.

What is the taxonomy code for Dr. Mortimer?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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