Hawkins Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAWKINS FAMILY DENTISTRY, LLC

Practice address

212 North Walnut Street
Pinckneyville, IL 62274

Phone

(618) 357-9333

Fax

(618) 357-9235

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Thaddeus Casey Hawkins, DMD

Title

Owner/Dentist

Phone

(618) 357-9333

Specialties & licenses 1

Addresses

Other names 1

• FAMILY DENTAL CENTER OF PINCKNEYVILLE, LLC Former legal business name

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1346002771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTH WALNUT STREET",
            "address_2": "PO BOX 476",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "62274",
            "telephone_number": "618-357-9333",
            "fax_number": "618-357-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTH WALNUT STREET",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "62274",
            "telephone_number": "618-357-9333",
            "fax_number": "618-357-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKINS FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "618-357-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DENTAL CENTER OF PINCKNEYVILLE, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Frassato, FNP
• Dawn M Galbraith, CLC
• Joseph Frank Grasso, O.D.
• Laura K. Harrawood, PH.D.
• Judith Lynn Hastings, RN
• Thaddeus Hawkins
• Wayne Ray Hawkins, DMD
• Kathy Lynn Heard, PTA
• Leah Jo Helbig, COTA
• High Point Residence Pinckneyville, LLC

• General Practice Dentistry in Pinckneyville, IL
• Providers in Pinckneyville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.