Organization
NATHAN HAWK, D.M.D, P.C.
Active
Other names
Raintree Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN HAWK DMD (DENTIST)
(765) 529-8668
Entity
Organization
Contact information
Practice address
120 S MEMORIAL DR, SUITE F, NEW CASTLE, IN 47362-4988
(765) 529-8668
(765) 529-8778
Mailing address
120 S MEMORIAL DR, SUITE F, NEW CASTLE, IN 47362-4988
(765) 529-8668
(765) 529-8778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011185B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114188745
—
IN
Enumeration date
11/14/2009
Last updated
05/30/2013
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