Provider Demographics
NPI:1124230792
Name:THOMAS A. HAMWAY, DDS, MS & TIMOTHY G. STROSTER, DDS, MS, PC
Entity Type:Organization
Organization Name:THOMAS A. HAMWAY, DDS, MS & TIMOTHY G. STROSTER, DDS, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:810-220-1700
Mailing Address - Street 1:10192 GRAND RIVER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-6516
Mailing Address - Country:US
Mailing Address - Phone:810-220-1700
Mailing Address - Fax:810-220-1718
Practice Address - Street 1:10192 GRAND RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-6516
Practice Address - Country:US
Practice Address - Phone:810-220-1700
Practice Address - Fax:810-220-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI158511223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty