Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mortenson Family Dental

Organization Dental Clinic/Center · NPI 1790897882

Mortenson Family Dental is a Dental Clinic/Center in Louisville, Kentucky. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1430 Poplar Level Rd
Louisville, KY 40217-1345
Phone: (502) 636-0311
Fax: (502) 636-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790897882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owen Mortenson — Gen. Dentist/Owner · (502) 636-0311
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address134 N Evergreen Rd, Middletown, KY 40243-1487

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