# MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407281868
- **Authorized official:** KATHIE ARMSTRONG (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (502) 254-8501

## Contact information

- **Practice address:** 1240 VETERANS PKWY, SUITE 100, CLARKSVILLE, IN 47129-2394
- **Practice address phone:** (812) 284-2701
- **Practice address fax:** (812) 282-2721
- **Mailing address:** 1240 VETERANS PKWY, SUITE 100, CLARKSVILLE, IN 47129-2394
- **Mailing address phone:** (812) 284-2701
- **Mailing address fax:** (812) 282-2721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | IN | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013