Michael Lewis Hawks, DMD
Individual provider Active NPI General Practice Dentistry · South Fulton, TN
NPI 1285704932 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285704932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5276 (TN)
- Practice address
- 1201 Industrial Park Rd
South Fulton, TN 38257-2700 - Phone
- (731) 479-3445
- Fax
- (731) 479-3447
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 26, 2016 through Apr 26, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald B Dowdy PSC | Past | Accepting new patients | |
| Overby Family Dentistry | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5276 | TN | Yes |
Addresses
Primary practice location
1201 Industrial Park Rd
South Fulton, TN 38257-2700
Mailing address
1201 Industrial Park Rd
South Fulton, TN 38257-2700
Phone (731) 479-3445
Other providers in South Fulton, TN
- Fred Gregory Cox
- Rachel Crabtree
- Dr Charles a Rice OD PC
- Elizabeth R Frazier
- Levi Griffith
- Stacy Pope Hogan
- Integrity-Park Terrace, LLC
- Karen Taylor Jones
- Finley W Leslie
- Nasira M Malik
All providers in South Fulton, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.