Organization
MORTENSON FAMILY DENTAL CENTER- CLARKSVILLE, LLC
Active
Other names
Smilecare Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES CFO (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
1240 VETERANS PARKWAY, SUITE 100, CLARKSVILLE, IN 47129
(812) 284-2701
(812) 284-2721
Mailing address
1240 VETERANS PARKWAY, SUITE 100, CLARKSVILLE, IN 47129
(812) 284-2701
(812) 284-2721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010767A
IN
Other
Enumeration date
03/17/2008
Last updated
10/16/2012
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