Provider Demographics
NPI:1205126554
Name:DAWSON, JULIE F (RDH)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:F
Last Name:DAWSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:NICOLE
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UNIT 38450
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96604-8450
Mailing Address - Country:US
Mailing Address - Phone:315-645-7381
Mailing Address - Fax:
Practice Address - Street 1:UNIT 38450
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96604-8450
Practice Address - Country:US
Practice Address - Phone:315-645-7381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4545124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist