Provider Demographics
NPI:1295332393
Name:HAWLEY, JONATHAN P (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:P
Last Name:HAWLEY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2423 BARROW ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6203
Mailing Address - Country:US
Mailing Address - Phone:325-692-0565
Mailing Address - Fax:325-692-5330
Practice Address - Street 1:2423 BARROW ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6203
Practice Address - Country:US
Practice Address - Phone:325-692-0565
Practice Address - Fax:325-692-5330
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337591223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics