Mortenson Family Dental Center - Withamsville, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MORTENSON FAMILY DENTAL CENTER - WITHAMSVILLE, LLC

Practice address

1301 W Ohio Pike
Ste 5
Amelia, OH 45102

Phone

(513) 399-5337

NPI assigned

Oct 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeff Reibel

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natali Zolotareva, DMD

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1841806205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1497265318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-254-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W OHIO PIKE",
            "address_2": "STE 5",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "45102",
            "telephone_number": "513-399-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Ohio Pike Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452452346",
            "country_code": "US",
            "telephone_number": "513-399-5337",
            "fax_number": "513-914-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL CENTER - WITHAMSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "REIBEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MK Consulting and Counseling LLC (TherapyAccess.Org)
• Caroline Martin Moreno, PA-C
• Rachel Renee Morgenthal
• Julie Marie Morris, PHARM D
• Audrey Morrison
• Katherine Murphy
• My Practitoner Family Practice
• Lauren Myers
• Andrew Needles
• Neil Blackburn DDS, Inc.

• Dentist in Amelia, OH
• Providers in Amelia, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.