Hawksford Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HAWKSFORD DENTAL CARE, LLC

Practice address

15541 W Hwy 77 E
Hayward, WI 54843

Phone

(715) 634-6776

Fax

(715) 634-5859

NPI assigned

Apr 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley Oldeen

Title

Office Manager

Phone

(715) 634-6776

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kay E Hawksford, DDS

  • Dentist
  • Hayward, WI
  • NPI 1215007190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1275112013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548430767",
            "telephone_number": "715-634-6776",
            "fax_number": "715-634-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15541 W HWY 77 E",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "54843",
            "telephone_number": "715-634-6776",
            "fax_number": "715-634-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKSFORD DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "OLDEEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-634-6776"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Hard
• Mary Allison Harper, DMD
• Patricia Anne Harrington, RN
• Cynthia M. Hart, MD
• Sasha N Harvey, HIS
• Hawksford-Larson Dental Care, LLC
• Kay E Hawksford, DDS
• Hayward Community School District
• Hayward Family Dentistry SC
• Hayward Family Eye Care, Inc

• Dental Clinic/Center in Hayward, WI
• Providers in Hayward, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.