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ENNIS HOMETOWN DENTAL
NPI 1700684701
Dentist - General Practice in Ennis, TX

Active since March 05, 2025
400 W ENNIS AVE, ENNIS, TX 75119(972) 875-9031(972) 878-9031 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ennis Hometown Dental NPPES

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

ENNIS HOMETOWN DENTAL (NPI 1700684701) is a healthcare organization registered as a general practice in Ennis, Texas and active in the NPI registry since March 2025. The organization lists Jorden Mark Mortensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1700684701
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameENNIS HOMETOWN DENTAL
Location Address400 W ENNIS AVEEnnis, TX 75119-3904
Mailing Address400 W Ennis AveEnnis, TX 75119-3904 · (972) 875-9031 · Fax (972) 878-9031
Phone(972) 875-9031
Fax(972) 878-9031
Organization SubpartNo
Authorized OfficialJorden Mark MortensenOwner · (512) 520-6365
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1700684701 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.
400 W ENNIS AVE, Ennis, TX 75119
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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 2

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

STEPHEN C. DURBIN, DDS, PC
Dentist
400 W ENNIS AVE
ENNIS, TX 75119
Ellis County (972) 875-9031
STEPHEN C DURBIN DDS
Dentist
400 W ENNIS AVE
ENNIS, TX 75119
Ellis County (972) 875-9031

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 Ennis Hometown Dental's NPI number?

The NPI number for Ennis Hometown Dental is 1700684701. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Ennis Hometown Dental located?

Ennis Hometown Dental is located at 400 W Ennis Ave, Ennis, TX 75119. The listed phone number is (972) 875-9031.

What is Ennis 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 Ennis 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 17 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.