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Organization

MOUNT ORTHODONTICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY TANNER MOUNT DDS (OWNER)
(512) 508-6104
Entity
Organization

Contact information

Practice address
4873 WILLIAMS DR STE 105, GEORGETOWN, TX 78633-2428
(512) 508-6104
Mailing address
310 RUNNING M ST, GEORGETOWN, TX 78633-2908
(512) 508-6104

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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