Provider Demographics
NPI:1154647295
Name:HAWKINS, WILLIAM G (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3574 HARTSEL DR
Mailing Address - Street 2:UNIT C
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-2108
Mailing Address - Country:US
Mailing Address - Phone:719-266-9868
Mailing Address - Fax:719-266-0889
Practice Address - Street 1:3574 HARTSEL DR
Practice Address - Street 2:UNIT C
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2108
Practice Address - Country:US
Practice Address - Phone:719-266-9868
Practice Address - Fax:719-266-0889
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice