Provider Demographics
NPI:1952336810
Name:HAMILTON, JR, DAVID C (DDS, MS, PA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:HAMILTON, JR
Suffix:
Gender:M
Credentials:DDS, MS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:322 10TH AVENUE DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2611
Mailing Address - Country:US
Mailing Address - Phone:828-324-4535
Mailing Address - Fax:828-324-8748
Practice Address - Street 1:322 10TH AVENUE DR NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2611
Practice Address - Country:US
Practice Address - Phone:828-324-4535
Practice Address - Fax:828-324-8748
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics