Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT W MORTENSON, DMD
ActiveBRENT W MORTENSON, DMD is a Oral & Maxillofacial Surgery healthcare provider located in LOUISVILLE, Kentucky. NPI 1356369169 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LOUISVILLE, KY
Registration Details
- NPI Number
- 1356369169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (20.114924875099 yrs)
- Last Updated
- Jun 18, 2014
- Licenses
-
7229 (KY)7229 (KY)7229 (KY)7229 (KY)
Practice Information
- Address
-
134 EVERGREEN RDSUITE 103LOUISVILLE, KY, 402431487Browse KY providers · Browse ZIP 40243
- Phone
- 5024101702
- Fax
- 5022440817
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Other Oral & Maxillofacial Surgery Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| RICHARD A PAPE | DMD MS | 1053312066 |
| WILLIAM M EPSTEIN | DMD | 1336140862 |
| THEODORE E LOGAN JR. | DMD | 1245231778 |
| JULIE M HARRIS | DMD | 1154322683 |
| DR. NATHAN FREDERICK WALTERS | DMD | 1265424907 |
| DR. CHRISTOPHER C BABCOCK | DMD MD | 1487646139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.