Organization
MORTIMER FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALLEN MORTIMER D.D.S. (PRESIDENT)
(810) 743-5131
Entity
Organization
Contact information
Practice address
4495 S CENTER RD, BURTON, MI 48519-1417
(810) 743-5131
(810) 743-1111
Mailing address
4495 S CENTER RD, BURTON, MI 48519-1417
(810) 743-5131
(810) 742-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014445
MI
Other
Enumeration date
04/17/2008
Last updated
07/15/2015
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