Organization
HOMETOWN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA JACKSON DDS (OWNER)
(219) 942-4858
Entity
Organization
Contact information
Practice address
1005 LINCOLN ST, HOBART, IN 46342-6082
(219) 942-4858
(219) 942-4036
Mailing address
1005 LINCOLN ST, HOBART, IN 46342-6082
(219) 942-4858
(219) 942-4036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300060040
—
IN
Enumeration date
11/01/2022
Last updated
11/01/2022
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