DR. Tyler Stephen Hawthorne, DDS
NPI #1730797341 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1730797341
- Entity Type
- Individual
- Name
- DR. Tyler Stephen Hawthorne, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 20, 2020
- Last Updated
- Jul 20, 2020
Practice Location
- Address
- 205 N HOOD ST
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-2103
- Phone
- (318) 559-1034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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