| Quitman Hometown Dental | |
|
208 S Main St Quitman TX 75783-2548 | |
| (903) 763-4441 | |
| (903) 763-4131 |
| Full Name | Quitman Hometown Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 S Main St, Quitman, 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 |
|---|---|
| Quitman Hometown Dental 208 S Main Street Po Box 1577 Quitman TX 75783 Ph: (903) 763-4441 | Quitman Hometown Dental 208 S Main St Quitman TX 75783-2548 Ph: (903) 763-4441 |
| NPI Number | 1578378865 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578378865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |