Provider Demographics
NPI:1720695323
Name:HAWKES, CODY (DDS)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:
Last Name:HAWKES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 N CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:49252-9792
Mailing Address - Country:US
Mailing Address - Phone:517-542-2357
Mailing Address - Fax:517-210-1200
Practice Address - Street 1:413 N CHICAGO ST
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MI
Practice Address - Zip Code:49252-9792
Practice Address - Country:US
Practice Address - Phone:517-542-2357
Practice Address - Fax:517-210-1200
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016007021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice