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

Dr. David R. Mortensen, DMD

Individual provider Dentist · NPI 1629281134

Dr. David R. Mortensen, DMD is a Dentist in Park City, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

355 Greenleaf Ave Ste A
Park City, IL 60085-5708
Phone: (847) 244-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1629281134
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2013 Greystem Cir, Apt #207, Gurnee, IL 60031-9336

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