Individual provider · Type 1 NPI
Tyler Stephen Hawthorne, DDS
General Practice Dentistry · Lake Providence, LA
NPI number
1730797341
Active
Practice location
205 N Hood St
Lake Providence, LA 71254-2103
Mailing address
115 Edinburg Dr
West Monroe, LA 71291-7656
Other practice locations
- 164 Country Club Cir, Minden, LA 71055-7502 · (318) 639-9559
- 502 Ross St, Oak Grove, LA 71263-9706 · (318) 428-2358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7125 (LA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Lake Providence
About NPI 1730797341
Tyler Stephen Hawthorne, DDS's National Provider Identifier is 1730797341, issued on Jul 20, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Providence, LA. The record was last updated on Jul 20, 2020.