Jenny O. Hawkins Dds Pc | |
22749 Maple Rd Lexington Park MD 20653-6305 | |
(301) 863-8822 | |
Not Available |
Full Name | Jenny O. Hawkins Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 22749 Maple Rd, Lexington Park, Maryland |
Authorized Official Name and Position | Michael Hawkins (CEO) |
Authorized Official Contact | 2409257829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jenny O. Hawkins Dds Pc 22749 Maple Rd Lexington Park MD 20653-6305 Ph: (301) 862-8822 | Jenny O. Hawkins Dds Pc 22749 Maple Rd Lexington Park MD 20653-6305 Ph: (301) 863-8822 |
NPI Number | 1346946548 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 01/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346946548 | NPI | - | NPPES |
1508004318 | Medicaid | MD | |
1013164466 | Medicaid | MD | |
1013536051 | Medicaid | MD | |
1740289685 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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