Provider Demographics
NPI:1225124316
Name:HAWKINS, CHET BARON (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHET
Middle Name:BARON
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 1:1250 BAY AREA BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2545
Mailing Address - Country:US
Mailing Address - Phone:281-488-4242
Mailing Address - Fax:281-488-5516
Practice Address - Street 1:1250 BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2545
Practice Address - Country:US
Practice Address - Phone:281-488-4242
Practice Address - Fax:281-488-5516
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice