Individual provider · NPI-1

Dr. Brent J Hawkes, D.M.D

Dentist · Bullhead City, AZ

NPI number1144633793
StatusActive
Last updated in NPPESJun 10, 2014

Details

NPI
1144633793
Entity type
Individual (NPI-1)
Name
Dr. Brent J Hawkes
Credential
D.M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2014
Last updated
Jun 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD008975AZYes

Practice location

3003 Hway 95 Ste 15
Bullhead City, AZ 86442-7896

Phone 928-758-4664 · Fax 928-758-2645

Mailing address

3003 Hway 95 Ste 15
Bullhead City, AZ 86442-7896

Phone 928-758-4664 · Fax 928-758-2645

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Bullhead City, AZ