Provider Demographics
NPI:1588783096
Name:HAMORSKY, JENNIFER A (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:A
Last Name:HAMORSKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 WILLOWMIST DRIVE
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078
Mailing Address - Country:US
Mailing Address - Phone:469-964-7843
Mailing Address - Fax:972-447-9556
Practice Address - Street 1:1909 WALNUT PLZ
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006
Practice Address - Country:US
Practice Address - Phone:972-416-5251
Practice Address - Fax:972-539-8899
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice