| Ennis Hometown Dental | |
|
400 W Ennis Ave Ennis TX 75119-3904 | |
| (972) 875-9031 | |
| (972) 878-9031 |
| Full Name | Ennis Hometown Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 W Ennis Ave, Ennis, Texas |
| Authorized Official Name and Position | Jorden Mark Mortensen (OWNER) |
| Authorized Official Contact | 5125206365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennis Hometown Dental 400 W Ennis Ave Ennis TX 75119-3904 Ph: (972) 875-9031 | Ennis Hometown Dental 400 W Ennis Ave Ennis TX 75119-3904 Ph: (972) 875-9031 |
| NPI Number | 1700684701 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700684701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ennis Ave. Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 W Ennis Ave, Ennis, TX 75119 Phone: 916-897-6682 | |
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Larry W. Treadaway, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 S Clay St, Ennis, TX 75119 Phone: 972-875-6081 Fax: 972-875-5043 | |
Stephen C. Durbin, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Ennis Ave, Ennis, TX 75119 Phone: 972-875-9031 Fax: 972-878-9032 | |
Grill Repair, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 817-897-6006 | |
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