Dr Tyler Stephen Hawthorne, DDS is a
Dentist - General Practice based in Lake Providence, Louisiana. Dr Tyler Stephen Hawthorne is licensed to practice in Louisiana (license number 7125) and his current practice location is
205 N Hood St, Lake Providence, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 559-1034.
NPI number for Dr Tyler Stephen Hawthorne is 1730797341 and his current mailing address is 115 Edinburg Dr, West Monroe, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730797341.
Healthcare Provider's Profile
Full Name | Dr Tyler Stephen Hawthorne |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 205 N Hood St, Lake Providence, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730797341
- Provider Enumeration Date: 07/20/2020
- Last Update Date: 07/20/2020
Medical Identifiers
Medical identifiers for Dr Tyler Stephen Hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730797341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7125 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler Stephen Hawthorne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tyler Stephen Hawthorne, DDS 115 Edinburg Dr, West Monroe, LA 71291-7656 Ph: (318) 355-4503 | Dr Tyler Stephen Hawthorne, DDS 205 N Hood St, Lake Providence, LA 71254-2103 Ph: (318) 559-1034 |
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