Provider Demographics
NPI:1174822001
Name:HAMILTON HUGH HOLDINGS, PLLC
Entity Type:Organization
Organization Name:HAMILTON HUGH HOLDINGS, PLLC
Other - Org Name:D. BLAINE LEEDS, D.D.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D.
Authorized Official - Middle Name:BLAINE
Authorized Official - Last Name:LEEDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-858-7382
Mailing Address - Street 1:7146 SR 247
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72858-8891
Mailing Address - Country:US
Mailing Address - Phone:479-858-7382
Mailing Address - Fax:479-858-7323
Practice Address - Street 1:7146 SR 247
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72858-8891
Practice Address - Country:US
Practice Address - Phone:479-858-7382
Practice Address - Fax:479-858-7323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty