Organization
FAMILY DENTAL CENTER OF PINCKNEYVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE R HAWKINS DMD (DENTIST/OWNER)
(618) 357-9333
Entity
Organization
Contact information
Practice address
212 N WALNUT ST, PINCKNEYVILLE, IL 62274-1015
(618) 357-9333
(618) 357-9235
Mailing address
PO BOX 476, PINCKNEYVILLE, IL 62274-0476
(618) 357-9333
(618) 357-9235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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