Organization
MORTENSON FAMILY DENTAL CENTER - WITHAMSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
1301 W OHIO PIKE, STE 5, AMELIA, OH 45102
(513) 399-5337
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
02/04/2026
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