Provider Demographics
NPI:1205484284
Name:PAULETTE SOLTIS HAMILTON DMD PC
Entity type:Organization
Organization Name:PAULETTE SOLTIS HAMILTON DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLTIS HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-587-1147
Mailing Address - Street 1:251 E GROVE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CLARKS GREEN
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1739
Mailing Address - Country:US
Mailing Address - Phone:570-587-1147
Mailing Address - Fax:
Practice Address - Street 1:251 E GROVE ST STE 1
Practice Address - Street 2:
Practice Address - City:CLARKS GREEN
Practice Address - State:PA
Practice Address - Zip Code:18411-1739
Practice Address - Country:US
Practice Address - Phone:570-587-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental