Mortenson Family Dental Center - Withamsville, LLC · Dentist

1301 W Ohio Pike, Ste 5, Amelia, OH 45102

Overview

Mortenson Family Dental Center - Withamsville, LLC is a Dentist (organization) practicing in Amelia, Ohio. The National Provider Identifier (NPI) is #1497265318, which was assigned on October 5, 2017, and the registration record was last updated on February 4, 2026. The practitioner's main practice location is at 1301 W Ohio Pike, Ste 5, Amelia, OH 45102; the contact telephone number is 5133995337. The primary taxonomy of Mortenson Family Dental Center - Withamsville, LLC is Dentist (122300000X). The authorized official for Mortenson Family Dental Center - Withamsville, LLC is Jeff Reibel (Cfo).

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Provider Information

NPI 1497265318
Entity Type Organization
Organization Name MORTENSON FAMILY DENTAL CENTER - WITHAMSVILLE, LLC
Provider Name MORTENSON FAMILY DENTAL CENTER - WITHAMSVILLE, LLC
Practice Address 1301 W Ohio Pike
Ste 5
Amelia
OH 45102
Practice Telephone 5133995337
Mailing Address Po Box 437169
Louisville
KY 40253-7169
Mailing Telephone 5022548500
Certification Date 2026-02-04
Enumeration Date 2017-10-05
Last Update Date 2026-02-04
Is Organization Subpart N

Authorized Official Information

Official Name JEFF REIBEL
Official Title CFO
Telephone 5022548500

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y122300000XDentist193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 122300000X
Taxonomy Dentist
Classification Dentist
Grouping Dental Providers
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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Location Information

Street Address 1301 W OHIO PIKE
STE 5
City AMELIA
State OH
Zip Code 45102
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Wal-Mart Stores East, Lp 1815 E Ohio Pike, Amelia, OH 45102-2045Optician2006-09-27
Greater Cincinnati Behavioral Health Services 43 East Main St, Amelia, OH 45102Family Medicine Physician2025-06-03
Sunrise Manor & Convalescent Center Inc 3434 State Route 132, Amelia, OH 45102-2012Skilled Nursing Facility2006-10-09
Amy Trent 43 E Main St, Amelia, OH 45102-1993Psychiatric/Mental Health Nurse Practitioner2014-01-08
Dignified Home Maker Services LLC 25 Rose Ln Apt 2, Amelia, OH 45102-1952In Home Supportive Care Agency2025-05-07
Lauren Teresa Meenach 1792 State Route 125, Amelia, OH 45102-2049Family Nurse Practitioner2024-02-19
Beth Zanovic · Beth A Brooks 262 W Main St, Amelia, OH 45102-1309Family Nurse Practitioner2017-06-07
Debra Rowland 3660 Legend Oaks Dr, Amelia, OH 45102-1281Personal Care Attendant2025-05-15
Mary Ann Collier 43 E Main St, Amelia, OH 45102-1993Adult Health Nurse Practitioner2017-07-31
James S Liming 1468 Thomaston Dr Apt A, Amelia, OH 45102-1069Personal Care Attendant2025-08-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.