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MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE LLC NPI 1467623629


NPI Information

NPI: 1467623629
Provider Name: MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC

Doing Business As: SMILECARE FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1240 VETERANS PARKWAY
SUITE 100
CLARKSVILLE, IN
ZIP 47129
Phone: (812) 284-2701
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MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC is a general practice dentist in Clarksville, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC NPI is 1467623629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smilecare Family Dental.

The provider's business location address is:

1240 VETERANS PARKWAY
SUITE 100
CLARKSVILLE, IN
ZIP 47129
Phone: (812) 284-2701
Fax: (812) 284-2721

The provider's authorized official is Stephen James .
The authorized official title is Cfo and has the following contact phone number (502) 254-8504.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 10/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12010767AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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