Provider Demographics
NPI:1972891653
Name:HAWKINS, TYLER KENT (DMD)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:KENT
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RAMSTEIN AIR BASE
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:DC
Mailing Address - Zip Code:09012-3036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 301
Practice Address - Street 2:
Practice Address - City:RAMSTEIN
Practice Address - State:DC
Practice Address - Zip Code:09012
Practice Address - Country:US
Practice Address - Phone:314-479-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008248122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist