Individual
DR. RILEY L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1823 SOMERVILLE RD SE, DECATUR, AL 35601-5015
(256) 355-2275
(253) 355-1240
Mailing address
1823 SOMERVILLE RD SE, DECATUR, AL 35601-5015
(256) 355-2275
(253) 355-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4573
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09816570
—
AL
01
—
1691242
UNITED CONCORDIA
AL
01
—
464104
UNITED CONCORDIA
AL
01
—
51008049
BCBS OF AL
AL
01
—
631069848
TAX ID
AL
01
—
830369814
TAX ID
AL
Enumeration date
08/08/2006
Last updated
07/09/2007
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