DR. TYLER STEPHEN HAWTHORNE DDS NPI 1730797341

NPI Information

  • NPI: 1730797341
  • Provider Name: DR. TYLER STEPHEN HAWTHORNE, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 205 N HOOD ST
    LAKE PROVIDENCE, LA
    ZIP 71254
  • Phone: (318) 559-1034

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NPI Details

DR. Tyler Stephen Hawthorne, DDS is a general practice dentist in Lake Providence, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Tyler Stephen Hawthorne, DDS NPI is 1730797341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 N HOOD ST
LAKE PROVIDENCE, LA
ZIP 71254-103
Phone: (318) 559-1034

The enumeration date for this NPI number is 7/20/2020 and was last updated on 7/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7125LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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