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Contact Information

MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
2917 HWY 62
JEFFERSONVILLE, IN47130
 Phone: 812-288-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE

NPI # 1447458070
LBN Legal business name MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
Authorized official OWEN MORTENSON - (OWNER PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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