Quitman Hometown Dental

NPI #1578378865 in Quitman, Texas

Provider Information

NPI Number: 1578378865
Entity Type: Organization
Organization Name: Quitman Hometown Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 208 S MAIN ST
City: Quitman
State: Texas
ZIP Code: 75783-2548
Phone: (903) 763-4441

Authorized Official

Name: JORDEN MARK MORTENSEN, DMD
Title: OWNER
Phone: (512) 520-6365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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