Hawkeye Dental Creations is a Dental Clinic in Moline, Illinois. It is located at 615 35th Avenue, Moline, IL and its contact number is 309-762-3015. The authorized person for Hawkeye Dental Creations is Dr. Jacquelyn Leah Richardson
who is President Dentist of the clinic and their contact number is 309-762-3015. The primary license number for Hawkeye Dental Creations is 019026572 (General Practice) in Illinois.
Hawkeye Dental Creations Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Hawkeye Dental Creations Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Hawkeye Dental Creations |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 615 35th Avenue, Moline,
Illinois, 61265 |
| Phone: | 309-762-3015 |
| Fax: | 309-762-1461 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jacquelyn Leah Richardson |
| Position: | President Dentist |
| Contact Number: | 309-762-3015 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Hawkeye Dental Creations clinic are as mentioned below.
| NPI Number: | 1649305921 |
| NPI Enumeration Date: | 23 Feb, 2007 |
| NPI Last Update On: | 25 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hawkeye Dental Creations are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 019026572 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 110282 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Hawkeye Dental Creations
615 35th Avenue,
Moline, Illinois |
| Zip: | 61265 |
| Phone Number: | 309-762-3015 |
| Fax Number: | 309-762-1461 |
Patients can reach Hawkeye Dental Creations at
615 35th Avenue, Moline, Illinois or can
call to book an appointment on 309-762-3015.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.