Provider Demographics
NPI:1932268323
Name:HAWS, ADAM SANFORD (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:SANFORD
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 1:593 AVENUE OF THE FLAGS
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9725
Mailing Address - Country:US
Mailing Address - Phone:805-688-9546
Mailing Address - Fax:805-688-6491
Practice Address - Street 1:593 AVENUE OF THE FLAGS
Practice Address - Street 2:SUITE 101
Practice Address - City:BUELLTON
Practice Address - State:CA
Practice Address - Zip Code:93427-9725
Practice Address - Country:US
Practice Address - Phone:805-688-9546
Practice Address - Fax:805-688-6491
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53221122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist