Mortenson, Todd

Mortenson, Todd is an individual health care provider with primary practice located at 2005 S Highway 53 , Lagrange KY 40031-9109. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mortenson, Todd can be contacted via phone (502) 225-0074.

Contact Information

Primary practice address
2005 S Highway 53 Lagrange KY 40031-9109
Fax: (502) 225-0882
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7374 Kentucky

Profile Details

NPI number 1720195969
LBN Legal business name Mortenson, Todd
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 18 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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