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

Dr. Samuel A Mortensen, DMD

Individual provider General Practice Dentistry · NPI 1427240282

Dr. Samuel A Mortensen, DMD is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona and Colorado. Registered with an NPI since 2007.

Licensed in
AZ, CO
In the registry since
2007
Specialties on file
2
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

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 200-5383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7351 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence DEN.00201822 (CO)

Record details

NPI number1427240282
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESJuly 29, 2015
Mailing address4212 N 16th St, Phoenix, AZ 85016-5319

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