Provider Demographics
NPI:1225150238
Name:HAMILTON, MARGIE NELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGIE
Middle Name:NELL
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18499
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8499
Mailing Address - Country:US
Mailing Address - Phone:281-313-8988
Mailing Address - Fax:
Practice Address - Street 1:3425 HIGHWAY 6
Practice Address - Street 2:SUITE 103
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4512
Practice Address - Country:US
Practice Address - Phone:281-313-8988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice