National Provider Identifier Database

HAWLEY FAMILY DENTISRTY
Dental


Contact Information

HAWLEY FAMILY DENTISRTY
500 6TH ST
HAWLEY, MN56549
Phone: 218-483-3311
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for HAWLEY FAMILY DENTISRTY

NPI Number 1871976175
Legal business name
LBN
HAWLEY FAMILY DENTISRTY
Authorized official LUKE HVIDSTON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/06/2015
Last updated 07/06/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: D13569

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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