Kevin Michael Hamilton, DDS
Individual provider Active NPI General Practice Dentistry · Dequincy, LA
NPI 1306993191 · NPPES record last updated Feb 19, 2014
Key facts
- NPI
- 1306993191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4965 (LA)
- Practice address
- 202 S. Holly Street
Dequincy, LA 70633 - Phone
- (337) 786-2146
- Fax
- (337) 786-2874
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 4965 | LA | MD | General Practice Dentistry |
| 22986 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22986 | TX | |
| General Practice Dentistry | 1223G0001X | 4965 | LA | Yes |
Addresses
Primary practice location
202 S. Holly Street
Dequincy, LA 70633
Mailing address
202 S. Holly Street
Dequincy, LA 70633
Phone (337) 786-2146
Other providers in Dequincy, LA
- Fuselier Family Clinic
- Megan Berry Gallien
- Kayla Dailey Gaspard
- Greater Blessings Transportation LLC
- Jasmine Elizabeth Griffin
- Hartman Family Care LLC
- Jane Michelle Hartman
- Debra H. Harville
- Nafeesa Hashmi
- Tayler Ryan Hext
All providers in Dequincy, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2014. 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.