Provider Demographics
NPI:1083747927
Name:HAWS, JAYSON CLAUD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAYSON
Middle Name:CLAUD
Last Name:HAWS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:862 S MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-3320
Mailing Address - Country:US
Mailing Address - Phone:435-734-9144
Mailing Address - Fax:435-734-9779
Practice Address - Street 1:140 E 1000 S STE 101
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-4415
Practice Address - Country:US
Practice Address - Phone:435-734-9144
Practice Address - Fax:435-734-9779
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT59255631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice