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Deactivated NPI 1467482158 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon Ellison Hawk , DMD

Dentist - General Practice • Spokane Valley, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gordon Hawk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2006
NPI Deactivation Date April 05, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Hawk, DMD was a registered Dentist - General Practice practicing in Spokane Valley, WA. Throughout an active medical career spanning 17 years, Dr. Hawk provided care at the practice location at 100 N MULLAN RD until profile deactivation on 2023-04-05.

Practice Location & Contact Primary Location

Practice Address

100 N Mullan Rd
Suite #204

Spokane Valley, WA 992066848

Telephone 5099288400
Fax 5099281845
Associated Practice Facility / Clinic
🏢 Lds Family Services Facility NPI 1588876064

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane Valley, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
61 Specialists

Practicing in Spokane Valley, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 251-03-003331

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jeffrey Henneberg , DDS

Dentist - General Practice

NPI 1710906631

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 100 N MULLAN RD, SUITE #204, SPOKANE VALLEY, WA 992066848 (Tel: 5099288400)

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Updated Business Mailing Address July 08, 2007

Registered at 100 N MULLAN RD, SUITE #204, SPOKANE VALLEY, WA 992066848 (Tel: 5099288400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GORDON HAWK, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #251-03-003331 in WA)

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Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467482158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Deactivation Date: April 05, 2023

Mailing Address

100 N Mullan Rd, Suite #204

Spokane Valley, WA 992066848

Phone: 5099288400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.