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Hawkeye Dental Creations

Hawkeye Dental Creations is a healthcare organization registered as General Practice Dentistry in Moline, IL, holding Type 2 (organization) NPI 1649305921 since 2007. The authorized official on file is Jacquelyn Richardson, President Dentist.

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NPI 1649305921
Entity type Organization (Type 2)
Legal business name Hawkeye Dental Creations
Other name <Unavail>
Practice address 615 35TH AVENUE, Moline, IL, 61265
Phone 3097623015
Fax 3097621461
Enumeration date 2007-02-23
Last updated in NPPES 2008-06-25

Authorized official

Name Jacquelyn Richardson
Title President Dentist
Phone 3097623015

Taxonomy & classification

Taxonomy code Specialty Primary License State
1223G0001X General Practice Dentistry Primary 019026572 IL

Other identifiers

Identifier Type State Issuer
110282 Medicaid IL
Copy-ready billing details
Provider: Hawkeye Dental Creations
NPI: 1649305921
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 615 35TH AVENUE, Moline, IL, 61265

Verify this record

Cross-check NPI 1649305921 against the authoritative CMS record: view Hawkeye Dental Creations on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Hawkeye Dental Creations?
NPPES lists Jacquelyn Richardson (President Dentist) as the authorized official for this organization.
What is the NPI number for Hawkeye Dental Creations?
The NPI for Hawkeye Dental Creations is 1649305921, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-25.