Hawthorne, Greg Daniel

Hawthorne, Greg Daniel is an individual health care provider with primary practice located at 616 Fifth Street , Ames IA 50010-0848. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hawthorne, Greg Daniel can be contacted via phone (515) 232-5401.

Contact Information

Primary practice address
616 Fifth Street Ames IA 50010-0848
Fax: (515) 233-1804
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8109 Iowa

Profile Details

NPI number 1023160439
LBN Legal business name Hawthorne, Greg Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1023160439 NPPES
Iowa MEDICAID 0239897

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