MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
NPI 1760920805
Dentist - General Practice in Independence, KY

Active since February 09, 2017
2052 HARRIS PIKE, INDEPENDENCE, KY 41051(859) 898-2255(859) 898-2730 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Jul 21, 2022, May 24, 2017 and 1 more (4 updates tracked since 2017).

About Mortenson Family Dental Center - Independence, Llc NPPES

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

MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC (NPI 1760920805) is a healthcare organization registered as a general practice in Independence, Kentucky and active in the NPI registry since February 2017. The organization lists Jeff Reibel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760920805
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
Location Address2052 HARRIS PIKEIndependence, KY 41051-7783
Mailing Address2052 Harris PikeIndependence, KY 41051-7783 · (859) 898-2255 · Fax (859) 898-2730
Fax(859) 898-2730
Organization SubpartNo
Authorized OfficialJeff ReibelCfo · (502) 254-8500
Enumeration DateFebruary 9, 2017
Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1760920805 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.
2052 HARRIS PIKE, Independence, KY 41051

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 - Independence, LLC's NPI number?

The NPI number for Mortenson Family Dental Center - Independence, LLC is 1760920805. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Mortenson Family Dental Center - Independence, LLC located?

Mortenson Family Dental Center - Independence, LLC is located at 2052 Harris Pike, Independence, KY 41051. The listed phone number is (859) 898-2255.

What is Mortenson Family Dental Center - Independence, LLC'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 - Independence, LLC was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.