Provider Demographics
NPI:1568516516
Name:HAWKINS, ALEXANDER NEIL (DDS)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:NEIL
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 1:8116 TIMBERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2608
Mailing Address - Country:US
Mailing Address - Phone:434-239-2651
Mailing Address - Fax:434-239-2204
Practice Address - Street 1:8116 TIMBERLAKE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2608
Practice Address - Country:US
Practice Address - Phone:434-239-2651
Practice Address - Fax:434-239-2204
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice