Thomas David Hawley, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Angier, NC
NPI 1962697367 · NPPES record last updated Oct 30, 2011
Key facts
- NPI
- 1962697367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 8901 (NC)
- Practice address
- 15 Rawls Rd
Suite 200
Angier, NC 27501-6033 - Phone
- (919) 639-2272
- Fax
- (919) 639-8654
- NPI assigned
- Sep 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 8901 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates III, DDS PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8901 | NC | Yes |
Addresses
Primary practice location
15 Rawls Rd
Suite 200
Angier, NC 27501-6033
Mailing address
15 Rawls Rd
Suite 200, PO Box 160
Angier, NC 27501-6033
Phone (919) 639-2272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913931 | Medicaid | NC |
Other providers in Angier, NC
- Donna Green
- Tambryme Hamilton-Simmons
- Hart Integrated Wellness Services, PLLC
- Nancy Harte
- Harvardmed Family Practice, Inc
- Rochelle Hearns
- Grace Adel Heimensen
- Lauren Hill
- Nancy Waff Hodgson
- Nancy Ikehara
All providers in Angier, NC · Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2011. 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.