Mortenson Family Dental Center - Lawrenceburg LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG LLC

Practice address

1019 West Eads Parkway US 50
Lawrenceburg, IN 47102-1842

Phone

(502) 254-8500

Fax

(502) 805-1957

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Stephen James

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1508242827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WEST EADS PARKWAY US 50",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "471021842",
            "telephone_number": "502-254-8500",
            "fax_number": "502-805-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WEST EADS PARKWAY US 50",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "471021842",
            "telephone_number": "502-254-8500",
            "fax_number": "502-805-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL CENTER - LAWRENCEBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mittermeier, RN
• Tracy L Mock, LMHC
• Carol A Montjoy, MD
• Tyler Thomas Moore, LMHC
• Mary Morgan, LMHC
• Kaitlyn Danielle Morton, FNP
• Mrclp (Tri-State Tinnitus & APD Clinic)
• Anna Muirheid, LMHC
• Mark Munchel, DC
• Alison Muncy, RN

• Dental Clinic/Center in Lawrenceburg, IN
• Providers in Lawrenceburg, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.