Corsicana Hometown Dental
Organization Active NPI General Practice Dentistry · Corsicana, TX
NPI 1861290884 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1861290884
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- CORSICANA HOMETOWN DENTAL
- Practice address
- 416 N 15TH St
Corsicana, TX 75110-4514 - Phone
- (903) 872-7388
- Fax
- (903) 872-6896
- NPI assigned
- Mar 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Jorden Mark Mortensen, DMD
- Title
- Owner
- Phone
- (512) 520-6365
Practitioners 1
-
Pete Robert McElroy, DDS
National Provider Directory
Locations
416 N 15th St
Corsicana, TX 75110
Phone (903) 872-7388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
416 N 15TH St
Corsicana, TX 75110-4514
Mailing address
416 N 15TH St
Corsicana, TX 75110-4514
Phone (903) 872-7388
Other providers in Corsicana, TX
- Corsicana Childrens Dental Associates
- Corsicana Chiropractic, LLC
- Corsicana Envision Eyecare PA
- Corsicana First Eyecare PLLC
- Corsicana Health Care LLC
- Corsicana II Enterprises, L.L.C.
- Corsicana III Enterprises, L.L.C.
- Corsicana Isd
- Corsicana IV Enterprises, L.L.C.
- Corsicana Pediatric Dentistry, PA
All providers in Corsicana, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.