MEDICARE: GARY A. HAWTHORNE, D.M.D., P.A.

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
1	1223G0001X	General Practice Dentistry	2783	AR

General Provider Information

NPI Number	:	1841399664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY A. HAWTHORNE, D.M.D., P.A.

Provider Business Mailing Address
First Line	:	1803 S GREENWOOD AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-5821
Country	:	US
Telephone Number	:	479-782-2487
Fax Number	:	479-782-8838

Provider Business Practice Location Address
First Line	:	1803 S GREENWOOD AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-5821
Country	:	US
Telephone Number	:	479-782-2487
Fax Number	:	479-782-8838

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GARY ALLEN HAWTHORNE
Credential	:	D.M.D.
Telephone Number	:	479-782-2487

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1952412850 — DR. GARY ALLEN HAWTHORNE D.M.D.
Practice Location Address:

1803 S GREENWOOD AVE
FORT SMITH, AR
72901-5821

Practice Phone: 479-782-2487
Practice Fax: 479-782-8838

1972824415 — MS. CHERYL ANDREA SCOTT LPC
Practice Location Address:

4421 PADRE COURT
FORT WORTH, TX
76244-5821

Practice Phone: 682-459-3094
Practice Fax: 817-423-7384

1013430180 — LEAGUE FOR THE BLIND AND DISABLED, INC
Practice Location Address:

5821 S ANTHONY BLVD
FORT WAYNE, IN
46816-3701

Practice Phone: 260-441-0551
Practice Fax: 260-441-7760

1821629957 — TURQUOISE BANKS
Practice Location Address:

5821 WEDGWOOD DR
FORT WORTH, TX
76133-2726

Practice Phone: 432-349-1870
Practice Fax:

1083387864 — KC'S ANGELSINC.
Practice Location Address:

5821 FORT RD
GREENWOOD, FL
32443-1957

Practice Phone: 850-209-0032
Practice Fax:

1093444721 — JERSEY STAKE LLC
Practice Location Address:

2125 CENTER AVE STE 110
FORT LEE, NJ
07024-5821

Practice Phone: 201-242-0305
Practice Fax: 201-242-0345

Directions to “GARY A. HAWTHORNE, D.M.D., P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.