Provider Demographics
NPI:1982884995
Name:HAMILTON, EARL KENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:KENT
Last Name:HAMILTON
Suffix:
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 1:7704 QUARTERFIELD RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4412
Mailing Address - Country:US
Mailing Address - Phone:410-760-2850
Mailing Address - Fax:410-760-1999
Practice Address - Street 1:7704 QUARTERFIELD RD
Practice Address - Street 2:SUITE F
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4412
Practice Address - Country:US
Practice Address - Phone:410-760-2850
Practice Address - Fax:410-760-1999
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6689122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist