Hawkins Hometown Dental

Organization Active NPI General Practice Dentistry · Hawkins, TX

NPI 1164220174 · NPPES record last updated Mar 5, 2025

Key facts

NPI
1164220174
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
HAWKINS HOMETOWN DENTAL
Practice address
6264 FM 14
Hawkins, TX 75765-4844
Phone
(903) 769-1606
Fax
(903) 769-2707
NPI assigned
Mar 5, 2025
Organization subpart
No

Authorized official

Name
Jorden Mark Mortensen, DMD
Title
Owner
Phone
(512) 520-6365

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6264 S FM 14
Hawkins, TX 75765
Phone (903) 769-1606

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

6264 FM 14
Hawkins, TX 75765-4844

Mailing address

6264 FM 14
Hawkins, TX 75765-4844
Phone (903) 769-1606

Other providers in Hawkins, TX

All providers in Hawkins, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.