Provider Demographics
NPI:1235337353
Name:HAWKINS, RACHEL MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 S 3RD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-8878
Mailing Address - Country:US
Mailing Address - Phone:515-986-4001
Mailing Address - Fax:515-986-4037
Practice Address - Street 1:1541 S 3RD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-8878
Practice Address - Country:US
Practice Address - Phone:515-986-4001
Practice Address - Fax:515-986-4037
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08484122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist