Corsicana Hometown Dental

NPI #1861290884 in Corsicana, Texas

Provider Information

NPI Number: 1861290884
Entity Type: Organization
Organization Name: Corsicana Hometown Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 5, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 416 N 15TH ST
City: Corsicana
State: Texas
ZIP Code: 75110-4514
Phone: (903) 872-7388

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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