Hawkins, Bradley Thomas-Terroll

Hawkins, Bradley Thomas-Terroll is an individual health care provider with primary practice located at 95-390 Kuahelani 3Ac-1193, Mililani HI 96789-1192. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Hawkins, Bradley Thomas-Terroll can be contacted via phone (808) 201-9273.

Contact Information

Primary practice address
95-390 Kuahelani 3Ac-1193 Mililani HI 96789-1192
Phone: (808) 201-9273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17143 Maryland
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DT-2880-0 Hawaii

Profile Details

NPI number 1821648486
LBN Legal business name Hawkins, Bradley Thomas-Terroll
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2019
Last updated Nov 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821648486 NPPES
Maryland MEDICAID 265063100
Maryland Other 15743316

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