RED OAK HOMETOWN DENTAL
NPI 1023816030
Dentist - General Practice in Red Oak, TX

Active since March 05, 2025
101 AUSTIN BLVD STE 100, RED OAK, TX 75154(972) 617-3508 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Red Oak Hometown Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED OAK HOMETOWN DENTAL (NPI 1023816030) is a healthcare organization registered as a general practice in Red Oak, Texas and active in the NPI registry since March 2025. The organization lists Jorden Mark Mortensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1023816030
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRED OAK HOMETOWN DENTAL
Location Address101 AUSTIN BLVD STE 100Red Oak, TX 75154-4661
Mailing Address101 Austin Blvd Ste 100Red Oak, TX 75154-4661 · (972) 617-3508 · Fax (972) 576-5202
Organization SubpartNo
Authorized OfficialJorden Mark MortensenOwner · (512) 520-6365
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
NPI 1023816030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
101 AUSTIN BLVD STE 100, Red Oak, TX 75154

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
101 AUSTIN BLVD STE 100
RED OAK, TX 75154
Dentist
101 AUSTIN BLVD STE 100
RED OAK, TX 75154
Dentist (General Practice)
101 AUSTIN BLVD STE 100
RED OAK, TX 75154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Oak Hometown Dental's NPI number?

The NPI number for Red Oak Hometown Dental is 1023816030. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Red Oak Hometown Dental located?

Red Oak Hometown Dental is located at 101 Austin Blvd Ste 100, Red Oak, TX 75154. The listed phone number is (972) 617-3508.

What is Red Oak Hometown Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Red Oak Hometown Dental was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.