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Search › Kentucky › 1223S0112X

Brent Mortenson, DMD

NPI 1356369169 · on the registry since 2006

Practice

Address
134 Evergreen Rd
Suite 103
Louisville, KY 40243
Phone
(502) 410-1702
Fax
(502) 244-0817
Organisation at this address
Osg Of Ky Llc
Engilman Orthodontics Pllc
Advanced Dental Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
122300000X
1223P0221X
204E00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky