Provider Demographics
NPI:1558427476
Name:HAWKINS DENTAL CARE LLC
Entity Type:Organization
Organization Name:HAWKINS DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:CABANA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-335-2300
Mailing Address - Street 1:362 HAWKINS PL
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-1128
Mailing Address - Country:US
Mailing Address - Phone:973-335-2300
Mailing Address - Fax:973-334-3912
Practice Address - Street 1:362 HAWKINS PL
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-1128
Practice Address - Country:US
Practice Address - Phone:973-335-2300
Practice Address - Fax:973-334-3912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty