IndividualActive
Andrew Hawks, DMD, MS
NPI 1316767080 · Orthodontics and Dentofacial Orthopedics Dentistry · South Jordan, UT
Provider details
- NPI number
- 1316767080
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13889174-9926 (UT)
Specialties & taxonomies
Dental Providers
Practice location
10654 S River Heights Dr Ste 310
South Jordan, UT 84095-5544
Phone: (801) 254-6900
Approximate (ZIP-level) locationGet directions
Mailing address
11442 S Watercourse Rd
South Jordan, UT 84009-1827
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.