Provider Demographics
NPI:1407945843
Name:HUBBARD, TERRI HAWKINS (DMD)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:HAWKINS
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:23 MAIN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1648
Mailing Address - Country:US
Mailing Address - Phone:843-671-7336
Mailing Address - Fax:843-671-7335
Practice Address - Street 1:23 MAIN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1648
Practice Address - Country:US
Practice Address - Phone:843-671-7336
Practice Address - Fax:843-671-7335
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC40761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry