Provider Demographics
NPI:1083795728
Name:HAWKINS, RUTH ANITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:ANITA
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:RUTH
Other - Middle Name:ANITA
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 025580
Mailing Address - Street 2:KIN 365
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33102
Mailing Address - Country:US
Mailing Address - Phone:708-990-3357
Mailing Address - Fax:876-755-3836
Practice Address - Street 1:1 MAIN STREET
Practice Address - Street 2:QUENTIN N BURDICK MEMORIAL HEALTH CARE FACILITY
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316
Practice Address - Country:US
Practice Address - Phone:701-477-8439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019019909122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist