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Organization

HAWKINS DENTAL GROUP

Active
Other names
H HAWKINS DENTAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUBERT HAWKINS DDS (OWNER)
(802) 748-2325
Entity
Organization

Contact information

Practice address
1350 MAIN ST, SUITE 1, ST JOHNSBURY, VT 05819-2243
(802) 748-2325
Mailing address
1350 MAIN ST, SUITE 1, ST JOHNSBURY, VT 05819-2243
(802) 748-2325

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160000444
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008592
VT
Enumeration date
10/09/2006
Last updated
08/22/2020
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