Hawkins Hometown Dental

Primary specialty

General Practice DentistryTaxonomy code 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

Last updated

Mar 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorden Mark Mortensen, DMDNPI 1962069369

Title

Owner

Phone

(512) 520-6365

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorden Mark Mortensen, DMD

  • General Practice Dentistry
  • Kingwood, TX
  • NPI 1962069369
  Authorized official Same address or phone
• Jacob Dean Andersen, DMD

  • Dentist
  • Hawkins, TX
  • NPI 1174109789

  General Practice

  NPD
• Rebecca A Davenport, DDS

  • Dentist
  • Hawkins, TX
  • NPI 1275871097
  NPD (past)
• Harkiran Kaur Judge

  • General Practice Dentistry
  • Hawkins, TX
  • NPI 1639878416
  NPD (past)
• Andrew B Rosson, DDS

  • Dentist
  • Hawkins, TX
  • NPI 1215156765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1164220174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 FM 14",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "757654844",
            "telephone_number": "903-769-1606",
            "fax_number": "903-769-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 FM 14",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "757654844",
            "telephone_number": "903-769-1606",
            "fax_number": "903-769-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKINS HOMETOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "JORDEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-520-6365",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Dezelle, LPC
• Gabrielle P Durham
• Heather Rene Elmore
• Danny Green, MT, CLT
• Jessica Dawn Havir, FNP-C
• Harkiran Kaur Judge
• Laura Ann Keck, RN
• Breanne Nichole Lawrence, NP
• Yvette Levingston, NP
• Callie Little

• General Practice Dentistry in Hawkins, TX
• Providers in Hawkins, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.