MORTENSON FAMILY DENTAL (NPI# 1306949466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306949466 |
| Entity Type | Organization |
| Organization Name | MORTENSON FAMILY DENTAL |
| Practice Address |
1746 Highway 44 E Shepherdsville KY 40165-6131 |
| Mailing Address |
134 N Evergreen Rd Suite 102 Middletown KY 40243-1487 |
| Practice Telephone | 5029557102 |
| Practice Fax Number | 5029214068 |
| Mailing Telephone | 5022457103 |
| Mailing Fax Number | 5022532202 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | DR. OWEN WAYNE MORTENSON (GEN DENTIST/OWNER) |
| Authorized Official Telephone | 5022458627 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487757761 | Mortenson Family Dental | Clinic/Center | 110 N. Locust St, Carlisle, KY 40311 | 2006-09-05 |
| 1790897882 | Mortenson Family Dental | Clinic/Center | 1430 Poplar Level Rd, Louisville, KY 40217-1345 | 2006-08-31 |
| 1881706547 | Mortenson Family Dental | Clinic/Center | 911 Palatka Rd, Louisville, KY 40214-3461 | 2006-08-31 |
| 1407968159 | Mortenson Family Dental | Clinic/Center | 8711 Old Bardstown Rd, Louisville, KY 40291-4435 | 2006-08-31 |
| 1730291493 | Mortenson Family Dental | Clinic/Center | 2005 S Highway 53, Lagrange, KY 40031-9109 | 2006-08-31 |
| 1760593602 | Mortenson Family Dental | Clinic/Center | 11708 Main St, Middletown, KY 40243-1426 | 2006-08-31 |
| 1477665156 | Mortenson Family Dental | Clinic/Center | 2441 State St, New Albany, IN 47150-4962 | 2006-08-31 |
| 1376655498 | Mortenson Family Dental | Clinic/Center | 5222 Dixie Hwy, Louisville, KY 40216-1704 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MORTENSON FAMILY DENTAL CENTER - CLARKSVILLE, LLC | 134 N Evergreed Rd Ste 200, Middletown, KY 40243 |
| Indiana Business Entities | MORTENSON FAMILY DENTAL CENTER - CORYDON LLC | 11801 Brinley Ave., Suite 100, Middletown, KY 40243 |
| Indiana Business Entities | MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG, LLC | 11801 Brinley Ave Ste 100, Middletown, KY 40243 |
| Indiana Business Entities | MORTENSON FAMILY DENTAL CENTER - NEW ALBANY, LLC | 11801 Brinley Ave, Suite 100, Middletown, KY 40243 |
| Street Address |
1746 HIGHWAY 44 E |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447367560 | Phillip Schuler | Dentist | 1746 Highway 44 E, Shepherdsville, KY 40165-6131 | 2006-08-24 |
| 1811228307 | Mark Mortenson | Dentist | 1746 Highway 44 E, Shepherdsville, KY 40165-6131 | 2010-01-22 |
| 1033347869 | Engilman Orthodontics-shepherdsville, Pllc | Clinic/Center | 1746 Highway 44 E, Shepherdsville, KY 40165-6131 | 2009-07-01 |
| 1134203862 | Jera Redman-owens | Dentist | 1746 Highway 44 E, Shepherdsville, KY 40165-6131 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130348 | Cs Dental, Pllc | Clinic/Center | 181 Highway 44 E Ste 2, Shepherdsville, KY 40165-6081 | 2017-08-18 |
| 1033347869 | Engilman Orthodontics-shepherdsville, Pllc | Clinic/Center | 1746 Highway 44 E, Shepherdsville, KY 40165-6131 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1629696505 | Kauffmann and Sims Dentistry Pllc | Clinic/Center | 3935 Dupont Cir Ste A, Louisville, KY 40207-4824 | 2020-07-08 |
| 1841816824 | Lyon Family Dental | Clinic/Center | 252 Commerce St, Eddyville, KY 42038-8294 | 2020-06-24 |
| 1508487109 | Arrow Dental Pllc | Clinic/Center | 1107 Crown Pointe Dr Ste 210, Elizabethtown, KY 42701-7281 | 2020-05-05 |
| 1831710698 | Arrow Dental Pllc | Clinic/Center | 25 E High St Ste 2, Mt Sterling, KY 40353-1267 | 2020-05-04 |
| 1699396440 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-04 |
| 1922629773 | Arrow Dental Pllc | Clinic/Center | 1080 Ben Ali Dr Ste A, Danville, KY 40422-8937 | 2020-05-04 |
| 1730700576 | Arrow Dental Pllc | Clinic/Center | 2505 Larkin Rd Ste 201, Lexington, KY 40503-3256 | 2020-05-04 |
| 1699394783 | Professional Dental Services of Kentucky Psc | Clinic/Center | 4814 Outer Loop Ste A, Louisville, KY 40219-3302 | 2020-04-09 |
| 1316579279 | Shannon P Johnson Dmd Pllc | Clinic/Center | 9510 Ormsby Station Rd Ste 203, Louisville, KY 40223-4083 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.