Provider Demographics
NPI:1578675005
Name:HAMILL, SCHUYLER V (D D S)
Entity Type:Individual
Prefix:
First Name:SCHUYLER
Middle Name:V
Last Name:HAMILL
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 CHESTNUT ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6461
Mailing Address - Country:US
Mailing Address - Phone:248-642-3320
Mailing Address - Fax:248-642-5840
Practice Address - Street 1:751 CHESTNUT ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6461
Practice Address - Country:US
Practice Address - Phone:248-642-3320
Practice Address - Fax:248-642-5840
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI141781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice