Provider Demographics
NPI:1508026345
Name:HAMILTON RHODES, BRIDGETTE (DDS)
Entity Type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:HAMILTON RHODES
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 1:818 18TH ST NW
Mailing Address - Street 2:SUITE 640
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3513
Mailing Address - Country:US
Mailing Address - Phone:202-776-0901
Mailing Address - Fax:202-776-0903
Practice Address - Street 1:818 18TH ST NW
Practice Address - Street 2:SUITE 640
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3513
Practice Address - Country:US
Practice Address - Phone:202-776-0901
Practice Address - Fax:202-776-0903
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN57231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice