Mortenson Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORTENSON FAMILY DENTAL

Practice address

911 Palatka Rd
Louisville, KY 40214-3461

Phone

(502) 366-2448

Fax

(502) 366-3551

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Owen Wayne Mortenson, DMD

Title

Gen Dentist/Owner

Phone

(502) 245-8627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881706547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N EVERGREEN RD",
            "address_2": "SUITE 102",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431487",
            "telephone_number": "502-245-7103",
            "fax_number": "502-253-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PALATKA RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143461",
            "telephone_number": "502-366-2448",
            "fax_number": "502-366-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "GEN DENTIST/OWNER",
        "authorized_official_telephone_number": "502-245-8627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Garrett Mortell, DO
• Alison Mortensen
• Mortenson Family Dental
• Mortenson Family Dental
• Mortenson Family Dental
• Mortenson Family Dental Center (engilman orthodontics)
• Mortenson Family Dental Center - Dixie at Rockford Lane, PLLC
• Mortenson Family Dental Center - Jeffersontown Central, PLLC
• Mortenson Family Dental Center Hilliview-Okolona PLLC
• Mortenson Family Dental Center- Springhurst PLLC

• Dental Clinic/Center in Louisville, KY
• Providers in Louisville, 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 Aug 22, 2020; 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.