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Brent W Mortenson

Dentist Pediatric Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

134 Evergreen Rd Suite 103
Louisville , Kentucky 40243-1487

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Brent W Mortenson

Dentist Pediatric Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

134 Evergreen Rd Suite 103
Louisville , Kentucky 40243-1487

(502) 244-0817

Write a Review Save Call

Brent W Mortenson

Dentist Pediatric Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

134 Evergreen Rd Suite 103
Louisville , Kentucky 40243-1487

(502) 244-0817 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Pediatric Dentist
  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

134 Evergreen Rd Suite 103 Louisville , Kentucky 40243-1487

First Address

  • Brent W Mortenson
  • 134 Evergreen Rd Suite 103
  • Louisville, KY
  • Zip : 40243-1487
  • Fax : (502) 244-0817
  • Phone : (502) 410-1702

Second Address

  • Brent W Mortenson
  • 134 Evergreen Rd Suite 103
  • Louisville, KY
  • Zip : 40243-1487
  • Fax : (502) 244-0817
  • Phone : (502) 410-1702

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FAQs


Where did Brent W Mortenson attend graduate school?

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Where did Brent W Mortenson do his residency?

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Where did Brent W Mortenson do his fellowship?

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Is Brent W Mortenson board certified?

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What type of doctor is Brent W Mortenson

Oral and Maxillofacial Surgeon

In what state does Brent W Mortenson practice in?

Kentucky

Where is Brent W Mortenson ’s practice located?

134 Evergreen Rd Suite 103 , Louisville, Kentucky, 40243-1487

What is Brent W Mortenson ’s gender?

Male

Is Brent W Mortenson a sole practitioner?

No

Is Brent W Mortenson accepting new patients?

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What languages does Brent W Mortenson speak?

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Does Brent W Mortenson accept insurance?

Yes, Brent W Mortenson accepts insurance

Does Brent W Mortenson offers telemedicine?

Brent W Mortenson has not indicated if he offers telemedicine

What is Brent W Mortenson ’s professional license number?

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What is Brent W Mortenson ’s NPI number?

1356369169

Does Brent W Mortenson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 7229 KY
N 1223P0221X Pediatric Dentist 7229 KY
Y 1223S0112X Oral and Maxillofacial Surgeon 7229 KY
N 204E00000X Oral & Maxillofacial Surgeon 7229 KY

National Provider Identifier

NPI 1356369169
Provider Name Brent W Mortenson
First Address Louisville, KY 40243-1487
Second Address Louisville, KY 40243-1487
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/07/2006
Last Update Date 18/06/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
60072295 (05) KY
64072291 (05) KY
U68878 (02) KY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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