Individual provider Active NPI

David Hamilton, DMD

  • General Practice Dentistry
  • Lehi, UT
National Provider Identifier
1053723700
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13770532-9926 Issued in UT
Practice address
1626 E 3500 N Ste 102
Lehi, UT 84043-3847
Phone
(385) 510-3496
Fax
(385) 510-3497
NPI assigned
May 29, 2014
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13770532-9926 UT Primary
General Practice Dentistry 1223G0001X DN20801 FL

Addresses

Primary practice location

1626 E 3500 N Ste 102
Lehi, UT 84043-3847

Mailing address

149 Tuscan Way
St. Augustine, FL 32092
Phone (904) 201-3205

Other practice location 1

149 Tuscan Way
St. Augustine, FL 32092
Phone (904) 201-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720003338 FL Order and Referring Only - DentistPractitioner - Dentist 4385957380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20801FLMDGeneral Practice Dentistry
13770532-9926UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Dental Health Professionals, P.C. General Practice PastSince Feb 25, 2024 Accepting new patients
Comfortable Care Dental Health Professionals, PA Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1053723700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 TUSCAN WAY",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32092",
            "telephone_number": "904-201-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 E 3500 N STE 102",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433847",
            "telephone_number": "385-510-3496",
            "fax_number": "385-510-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Tuscan Way",
            "address_purpose": "LOCATION",
            "city": "St. Augustine",
            "state": "FL",
            "postal_code": "32092",
            "country_code": "US",
            "telephone_number": "904-201-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "13770532-9926",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.