Brent W Mortenson
DMD | Dentist | 32+ years Exp
134 Evergreen Rd, Suite 103, Louisville
Kentucky, 40243-1487
502-410-1702 502-244-0817
Maps & DirectionsBrent W Mortenson is a Louisville, Kentucky based Dentist with
32 years of experience in
Dentistry. He completed his graduation from
University Of Louisville School Of Dentistry in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brent W Mortenson is
7229 for Oral and Maxillofacial Surgery in Kentucky. His current practice location is
134 Evergreen Rd, Suite 103, Louisville. Patients can reach him at
502-410-1702.
Brent W Mortenson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Brent W Mortenson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Brent W Mortenson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Experience: | 32+ years |
| Medical School Attended: | University Of Louisville School Of Dentistry |
| Graduation Year: | 1993 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 134 Evergreen Rd, Suite 103, Louisville,
Kentucky, 40243-1487 |
| Phone: | 502-410-1702 |
| Fax: | 502-244-0817 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7315954187 |
| Enrollment ID: | I20060320000475 |
| NPI Number: | 1356369169 |
| NPI Enumeration Date: | 18 Jul, 2006 |
| NPI Last Update On: | 18 Jun, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brent W Mortenson are as mentioned below.
| License Number | Specialization | State | Status | |
| 7229 | Oral and Maxillofacial Surgery | Kentucky | Primary | |
| 7229 | Dentistry | Kentucky | Secondary | |
| 7229 | Pediatric Dentistry | Kentucky | Secondary | |
| 7229 | Oral & Maxillofacial Surgery | Kentucky | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Brent W Mortenson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oral Surgery Group Of Frankfort, Pllc (9335327964) | 2 |
| Oral Surgery Group Of Middletown Pllc (8022280957) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Brent W Mortenson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 64072291 | Medicaid | Kentucky | |
| 60072295 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 134 Evergreen Rd, Suite 103
Louisville, Kentucky |
| Zip: | 40243-1487 |
| Phone Number: | 502-410-1702 |
| Fax Number: | 502-244-0817 |
Patients can reach Brent W Mortenson at
134 Evergreen Rd, Suite 103, Louisville, Kentucky or can
call to book an appointment on 502-410-1702.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.