George Michael Hawkins, DDS

Individual provider Active NPI General Practice Dentistry · Independence, MO

NPI 1144360975 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1144360975
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
014676 (MO)
Practice address
19501 E 40 Hwy
Independence, MO 64055
Phone
(816) 795-9500
Fax
(816) 795-9501
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
014676MOMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014676 MO Yes

Addresses

Primary practice location

19501 E 40 Hwy
Independence, MO 64055

Mailing address

19501 E 40 Hwy
Independence, MO 64055

Other providers in Independence, MO

All providers in Independence, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.