Provider Demographics
NPI:1710199385
Name:HAWS, JOHN MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:HAWS
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 1:404 W JACKSON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-1132
Mailing Address - Country:US
Mailing Address - Phone:423-753-6335
Mailing Address - Fax:423-753-6335
Practice Address - Street 1:404 W JACKSON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-1132
Practice Address - Country:US
Practice Address - Phone:423-753-6335
Practice Address - Fax:423-753-6335
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000002453122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist