Individual provider · NPI-1

Dr. Thomas J. Hawkes, D.D.S.

Dentist, General Practice · Bullhead City, AZ

NPI number1386734796
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1386734796
Entity type
Individual (NPI-1)
Name
Dr. Thomas J. Hawkes
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice3000AZYes

Practice location

3003 Highway 95
#15
Bullhead City, AZ 86442-7860

Phone 928-758-4664 · Fax 928-758-2645

Mailing address

3003 Highway 95
#15
Bullhead City, AZ 86442-7860

Phone 928-758-4664 · Fax 928-758-2645

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