| Red Oak Hometown Dental | |
|
101 Austin Blvd Ste 100 Red Oak TX 75154-4661 | |
| (972) 617-3508 | |
| Not Available |
| Full Name | Red Oak Hometown Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Austin Blvd Ste 100, Red Oak, 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 |
|---|---|
| Red Oak Hometown Dental 101 Austin Blvd Ste 100 Red Oak TX 75154-4661 Ph: (972) 617-3508 | Red Oak Hometown Dental 101 Austin Blvd Ste 100 Red Oak TX 75154-4661 Ph: (972) 617-3508 |
| NPI Number | 1023816030 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023816030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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