Provider Demographics
NPI:1417014895
Name:HAWTHORNE, JULIA CATHERINE (DDS,)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CATHERINE
Last Name:HAWTHORNE
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 1:2900 NORTH QUINLAN PARK
Mailing Address - Street 2:# 160
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732
Mailing Address - Country:US
Mailing Address - Phone:512-266-9585
Mailing Address - Fax:
Practice Address - Street 1:2900 N QUINLAN PARK RD
Practice Address - Street 2:# 160
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-6083
Practice Address - Country:US
Practice Address - Phone:512-266-9585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22183122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist