Provider Demographics
NPI:1649471053
Name:HAMILTON, H M II (DDS)
Entity type:Individual
Prefix:DR
First Name:H
Middle Name:M
Last Name:HAMILTON
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W MCNEESE ST
Mailing Address - Street 2:B
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5526
Mailing Address - Country:US
Mailing Address - Phone:337-477-9790
Mailing Address - Fax:337-477-9792
Practice Address - Street 1:406 W MCNEESE ST
Practice Address - Street 2:B
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5526
Practice Address - Country:US
Practice Address - Phone:337-477-9790
Practice Address - Fax:337-477-9792
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA45511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice