Mortenson, David Glen

Mortenson, David Glen is an individual health care provider with primary practice located at 2208 S Barrington , Mesa AZ 85209-5328. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mortenson, David Glen can be contacted via phone (480) 450-0829.

Contact Information

Primary practice address
2208 S Barrington Mesa AZ 85209-5328
Phone: (480) 450-0829
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8016 Arizona
Dental Providers / Endodontics 1223E0200X 8995 Kentucky

Profile Details

NPI number 1770898488
LBN Legal business name Mortenson, David Glen
Credentials D.M.D., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Feb 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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