Provider Demographics
NPI:1801236336
Name:HAMILTON, MELISSA PRECISE (DMD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:PRECISE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:EVETT
Other - Last Name:PRECISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23730 JOHN T REID PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2840
Mailing Address - Country:US
Mailing Address - Phone:256-999-0880
Mailing Address - Fax:256-573-1277
Practice Address - Street 1:23730 JOHN T REID PKWY STE B
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2840
Practice Address - Country:US
Practice Address - Phone:256-999-0880
Practice Address - Fax:256-573-1277
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL60221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice