Provider Demographics
NPI:1609646181
Name:HAMLIN FAMILY DENTISTRY, INC
Entity Type:Organization
Organization Name:HAMLIN FAMILY DENTISTRY, INC
Other - Org Name:HAMLIN PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOWTY
Authorized Official - Suffix:
Authorized Official - Credentials:OM
Authorized Official - Phone:407-342-7962
Mailing Address - Street 1:15415 WATERBIRD RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5793
Mailing Address - Country:US
Mailing Address - Phone:407-395-2615
Mailing Address - Fax:407-395-2631
Practice Address - Street 1:15415 WATERBIRD RD STE 100A
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5793
Practice Address - Country:US
Practice Address - Phone:407-395-2615
Practice Address - Fax:407-395-2631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty