Hawkins Hometown Dental
Dentist, General Practice in Hawkins, TX. Organization (NPI-2).
NPI number1164220174
StatusActive
Last updated in NPPESMar 5, 2025
Details
- NPI
- 1164220174
- Entity type
- Organization (NPI-2)
- Legal business name
- Hawkins Hometown Dental
- Organization subpart
- No
- Enumeration date
- Mar 5, 2025
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
6264 Fm 14Hawkins, TX 75765-4844
Phone 903-769-1606 · Fax 903-769-2707
Mailing address
6264 Fm 14Hawkins, TX 75765-4844
Phone 903-769-1606 · Fax 903-769-2707
Authorized official
Jorden Mark Mortensen
Owner
5125206365
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