Dr. Brian Steven Mortenson
Dentist Pediatric Dentist
36014 Wratten Ave.
Fort Hood
, Texas 76544
Dr. Brian Steven Mortenson
Dentist Pediatric Dentist
36014 Wratten Ave.
Fort Hood
, Texas 76544
(928) 830-2763
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Brian Steven Mortenson
- 6895 S Captiva Cv
- Cottonwood Heights, UT
- Zip : 84121-3473
- Phone : (928) 830-2763
Second Address
- Dr. Brian Steven Mortenson
- 36014 Wratten Ave.
- Fort Hood, TX
- Zip : 76544
- Phone : (254) 286-7401
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 32124 | TX |
| Y | 1223P0221X | Pediatric Dentist | 11672604-9922 | UT |
National Provider Identifier
| NPI | 1083161665 |
|---|---|
| Provider Name | Dr. Brian Steven Mortenson |
| First Address | Cottonwood Heights, UT 84121-3473 |
| Second Address | Fort Hood, TX 76544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2016 |
| Last Update Date | 07/05/2020 |
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.