# MORTENSON FAMILY DENTAL CENTER- FT WRIGHT PLLC

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

## Provider details

- **NPI number:** 1629417183
- **Authorized official:** KATHIE ARMSTRONG (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (502) 254-8501

## Contact information

- **Practice address:** 1983 DIXIE HWY, FT MITCHELL, KY 41011
- **Practice address phone:** (502) 955-7102
- **Mailing address:** 1983 DIXIE HWY, FT MITCHELL, KY 41011
- **Mailing address phone:** (502) 955-7102

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 06/18/2013