Organization
HAWKINS FAMILY DENTISTRY, LLC
Active
Other names
FAMILY DENTAL CENTER OF PINCKNEYVILLE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS CASEY HAWKINS DMD (OWNER/DENTIST)
(618) 357-9333
Entity
Organization
Contact information
Practice address
212 NORTH WALNUT STREET, PINCKNEYVILLE, IL 62274
(618) 357-9333
(618) 357-9235
Mailing address
212 NORTH WALNUT STREET, PO BOX 476, PINCKNEYVILLE, IL 62274
(618) 357-9333
(618) 357-9235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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