1356369169 Brent W Mortenson, DMD

Oral and Maxillofacial Surgery (Dentist)

Active

Basic Information

Full Name
Brent W Mortenson, DMD
Gender
Male
Enumeration Date
July 18, 2006
Last Update
June 18, 2014

Practice Location

Address
134 EVERGREEN RD
SUITE 103
LOUISVILLE, KY 402431487
Phone
(502) 410-1702
Fax
(502) 244-0817

Mailing Address

Address
134 EVERGREEN RD
SUITE 103
LOUISVILLE, KY 402431487
Phone
(502) 410-1702
Fax
(502) 244-0817

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dentist
122300000X Dentist 7229 KY No
Pediatric Dentistry
Pediatric Dentistry
1223P0221X Dentist 7229 KY No
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery
1223S0112X Dentist 7229 KY Primary
Oral & Maxillofacial Surgery (D.M.D.)
204E00000X Oral & Maxillofacial Surgery 7229 KY No

Other Identifiers

Identifier Type State Issuer
64072291 05 KY N/A
60072295 05 KY N/A

Frequently Asked Questions

What is Brent W Mortenson, DMD's NPI number?
Brent W Mortenson, DMD's NPI number is 1356369169.
Which doctor has NPI number 1356369169?
The doctor with NPI number 1356369169 is Brent W Mortenson, DMD.
What is Brent W Mortenson, DMD's practice address?
Brent W Mortenson, DMD's practice address is 134 EVERGREEN RD, SUITE 103, LOUISVILLE, KY, 402431487.
Which doctor practices at 134 EVERGREEN RD, SUITE 103, LOUISVILLE, KY, 402431487?
Brent W Mortenson, DMD practices at 134 EVERGREEN RD, SUITE 103, LOUISVILLE, KY, 402431487.
What is Brent W Mortenson, DMD's phone number?
Brent W Mortenson, DMD's phone number is (502) 410-1702.
Who is (502) 410-1702?
(502) 410-1702 is the phone number for Brent W Mortenson, DMD.
What is Brent W Mortenson, DMD's specialty?
Brent W Mortenson, DMD's specialty is Oral and Maxillofacial Surgery (Dentist).
What type of doctor is Brent W Mortenson, DMD?
Brent W Mortenson, DMD is a Oral and Maxillofacial Surgery (Dentist).
Is Brent W Mortenson, DMD a Oral and Maxillofacial Surgery?
Yes, Brent W Mortenson, DMD is a Oral and Maxillofacial Surgery.
Is Brent W Mortenson, DMD still practicing?
Yes, Brent W Mortenson, DMD is currently practicing.
Is Brent W Mortenson, DMD accepting new patients?
Brent W Mortenson, DMD may be accepting new patients. Please call their office at (502) 410-1702 to inquire about availability.
Is NPI 1356369169 still active?
Yes, NPI 1356369169 is currently active.
Where does Brent W Mortenson, DMD practice?
Brent W Mortenson, DMD practices in LOUISVILLE, KY.
Is Brent W Mortenson, DMD a male or female doctor?
Brent W Mortenson, DMD is a male doctor.