Audra M Hamilton
Individual provider Active NPI Dental Hygienist · Augusta, AR
NPI 1013928381 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013928381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 1582 (AR)
- Practice address
- 623 N 9TH Street
Augusta, AR 72006 - Phone
- (870) 347-3372
- Fax
- (870) 347-3492
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1582 | AR | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1582 | AR | Yes |
Addresses
Primary practice location
623 N 9TH Street
Augusta, AR 72006
Mailing address
PO Box 497
623 N 9TH Street
Augusta, AR 72006
Phone (870) 347-3372
Other providers in Augusta, AR
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.