BRENT MORTENSON, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1356369169
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 7229 (KY) |
| Dentist - Pediatric Dentistry | 1223P0221X | No | 7229 (KY) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 7229 (KY) |
| Oral & Maxillofacial Surgery | 204E00000X | No | 7229 (KY) |
Frequently Asked Questions
NPI 1356369169 is the National Provider Identifier for BRENT MORTENSON, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Louisville, KY. This NPI was enumerated on July 18, 2006.
BRENT MORTENSON, DMD practices at 134 EVERGREEN RD, SUITE 103, Louisville, KY 40243.
Quick Facts
- NPI
- 1356369169
- Type
- Individual
- Enumerated
- Jul 18, 2006
- Last Updated
- Jun 18, 2014
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