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Jeffery Mortenson, DMD
NPI 1962519355 · on the registry since 2006
Practice
- Address
- 11708 Main St
Middletown, KY 40243 - Phone
- (502) 245-8627
- Fax
- (502) 245-9395
- Organisation at this address
- Mortenson Family Dental
Periodontic & Endodontic ServicesInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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