Mortenson Family Dental Center - Georgetown, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC

Practice address

1508 Oxford Dr
Georgetown, KY 40324-9266

Phone

(502) 863-0880

Fax

(502) 867-7363

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Steven 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": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1669774022",
    "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",
            "fax_number": "502-867-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 OXFORD DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249266",
            "telephone_number": "502-863-0880",
            "fax_number": "502-867-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEVEN",
        "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": []
}

• Michelle Morgan, MA, CCC/SLP
• Ivan David Morrin, MD
• Aneisha P Morris
• Alicia R Morrison
• Jessica Morrow, ATC, CES, CSS, CEFE
• Arthur Shawn Morvai, PT
• Shawn Moulis
• Muha Optometric Group, PLLC
• Swati S Mulay
• Julie Mulholland, M.S. CCC-SLP

• Dental Clinic/Center in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.