MORTENSON FAMILY DENTAL CENTER - SIMPSONVILLE, PLLC
NPI 1285978288
Dentist - General Practice in Simpsonville, KY

Q: What is Mortenson Family Dental Center - Simpsonville, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 15, 2012

137 BUCK CREEK RD, SIMPSONVILLE, KY 40067(502) 722-2110(502) 722-2116 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mortenson Family Dental Center - Simpsonville, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORTENSON FAMILY DENTAL CENTER - SIMPSONVILLE, PLLC (NPI 1285978288) is a healthcare organization registered as a general practice in Simpsonville, Kentucky and active in the NPI registry since November 2012. The organization lists Ronel Mccombs, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1285978288

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMORTENSON FAMILY DENTAL CENTER - SIMPSONVILLE, PLLC

Location Address137 BUCK CREEK RDSimpsonville, KY 40067-6674

Mailing AddressPo Box 437169Louisville, KY 40253-7169 · (502) 254-8500 · Fax (502) 245-5021

Phone(502) 722-2110

Fax(502) 722-2116

Organization SubpartNo

Authorized OfficialRonel MccombsCredentialing Specialist · (502) 254-8500

Enumeration DateNovember 15, 2012

✔ NPI 1285978288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

137 BUCK CREEK RD, Simpsonville, KY 40067

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mortenson Family Dental Center - Simpsonville, PLLC's NPI number?

The NPI number for Mortenson Family Dental Center - Simpsonville, PLLC is 1285978288. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Mortenson Family Dental Center - Simpsonville, PLLC located?

Mortenson Family Dental Center - Simpsonville, PLLC is located at 137 Buck Creek Rd, Simpsonville, KY 40067. The listed phone number is (502) 722-2110.

What is Mortenson Family Dental Center - Simpsonville, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mortenson Family Dental Center - Simpsonville, PLLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.