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Tyler Hawthorne, DDS
NPI 1730797341 · on the registry since 2020 · sole proprietor
Practice
- Address
- 205 N Hood St
Lake Providence, LA 71254 - Phone
- (318) 559-1034
- Clinicians at this address
- 2
Additional practice sites
- 164 Country Club Cir, Minden, LA
- 502 Ross St, Oak Grove, LA
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana