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NPI Code Detail

MEDICARE: WILLIAM G HAWKINS DDS

MEDICARE:   WILLIAM G HAWKINS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry206CO

General Provider Information

NPI Number : 1154647295
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM G HAWKINS DDS
Provider Business Mailing Address
First Line : 3574 HARTSEL DR
Second Line : UNIT C
City : COLORADO SPRINGS
State : CO
Zip : 80920-2108
Country : US
Telephone Number : 719-266-9868
Fax Number : 719-266-0889
Provider Business Practice Location Address
First Line : 3574 HARTSEL DR
Second Line : UNIT C
City : COLORADO SPRINGS
State : CO
Zip : 80920-2108
Country : US
Telephone Number : 719-266-9868
Fax Number : 719-266-0889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 04/14/2010

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Directions to “ WILLIAM G HAWKINS DDS” Practice Location

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