Brent W Mortenson
Dentist Pediatric Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
134 Evergreen Rd Suite 103
Louisville
, Kentucky 40243-1487
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
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About
Features
Specialties
- Dentist
- Pediatric Dentist
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
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
Reviews
FAQs
Where did Brent W Mortenson attend graduate school?
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What type of doctor is Brent W Mortenson
In what state does Brent W Mortenson practice in?
Where is Brent W Mortenson ’s practice located?
What is Brent W Mortenson ’s gender?
Is Brent W Mortenson a sole practitioner?
Is Brent W Mortenson accepting new patients?
What languages does Brent W Mortenson speak?
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Does Brent W Mortenson offers telemedicine?
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What is Brent W Mortenson ’s NPI number?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.