Larry Eugene Hamlin, DMD
Individual provider Active NPI General Practice Dentistry · Owingsville, KY
NPI 1003983271 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003983271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4119 (KY)
- Practice address
- 135 Suddith Street
Owingsville, KY 40360 - Phone
- (606) 674-6305
- Fax
- (606) 674-6306
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4119 | KY | Yes |
Addresses
Primary practice location
135 Suddith Street
Owingsville, KY 40360
Mailing address
135 Suddith Street
PO Box 635
Owingsville, KY 40360
Phone (606) 674-6305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60041191 | Medicaid | KY |
Other providers in Owingsville, KY
- Gateway District Health Department
- Gateway Regional Health Systems Inc
- Marsha Goldy
- Christina Dawn Griffith
- William R Grimes
- Handsbath
- Natasha Harvey-Allen
- Melodie Tipton Hawkins
- Madison Howard
- Stacy Hunt
All providers in Owingsville, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.