Organization
GARY A. HAWTHORNE, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLEN HAWTHORNE D.M.D. (PRESIDENT)
(479) 782-2487
Entity
Organization
Contact information
Practice address
1803 S GREENWOOD AVE, FORT SMITH, AR 72901-5821
(479) 782-2487
(479) 782-8838
Mailing address
1803 S GREENWOOD AVE, FORT SMITH, AR 72901-5821
(479) 782-2487
(479) 782-8838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2783
AR
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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