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

Brent W Mortenson, DMD

Individual provider Dentist · NPI 1356369169

Brent W Mortenson, DMD is an Oral Surgery in Louisville, Kentucky. Graduated from University of Louisville School of Dentistry in 1993, 33 years ago. Practices with Oral Surgery Group of Frankfort, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
33
Trained at
University of Louisville School of Dentistry
Licensed in
KY
In the registry since
2006
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

134 Evergreen Rd Ste 103
Louisville, KY 40243-1487
Phone: (502) 410-1702
Fax: (502) 244-0817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7229 (KY)
Dentist Taxonomy 122300000X · Licence 7229 (KY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 7229 (KY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 7229 (KY)

Record details

NPI number1356369169
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJune 18, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Graduated 1993 (33 years in practice)
Group practice Oral Surgery Group Of Frankfort, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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