Julie Baird Hawley, DDS
Individual provider Active NPI Dentist · Emporia, VA
NPI 1003251992 · NPPES record last updated Jul 9, 2013
Key facts
- NPI
- 1003251992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401414029 (VA)
- Practice address
- 510 Belfield Dr
Emporia, VA 23847-1218 - Phone
- (434) 634-4164
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414029 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie B. Hawley, D.D.S., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 0401414029 | VA | Yes |
Addresses
Primary practice location
510 Belfield Dr
Emporia, VA 23847-1218
Mailing address
510 Belfield Dr
Emporia, VA 23847-1218
Phone (434) 634-4164
Other providers in Emporia, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.