Provider Demographics
NPI:1720365877
Name:HAMILTON DENTAL & ASSOCIATES PA
Entity Type:Organization
Organization Name:HAMILTON DENTAL & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-225-5050
Mailing Address - Street 1:2600 NW 87 AVENUE
Mailing Address - Street 2:SUITE 29
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172
Mailing Address - Country:US
Mailing Address - Phone:305-225-5050
Mailing Address - Fax:305-593-8825
Practice Address - Street 1:2600 NW 87TH AVE
Practice Address - Street 2:SUITE 29
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1621
Practice Address - Country:US
Practice Address - Phone:305-225-5050
Practice Address - Fax:305-593-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN126281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty