Hamilton Advanced Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN-DEN-LIC-9616 Issued in MT

Legal business name

HAMILTON ADVANCED DENTISTRY LLC

Practice address

215 N 10TH St Ste a
Hamilton, MT 59840-2328

Phone

(406) 363-2421

Fax

(406) 363-4541

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Eli K Johnson, DDS

Title

President

Phone

(406) 363-2421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1316320856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 10TH ST STE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402328",
            "telephone_number": "406-363-2421",
            "fax_number": "406-363-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 10TH ST STE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402328",
            "telephone_number": "406-363-2421",
            "fax_number": "406-363-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON ADVANCED DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-363-2421",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "DEN-DEN-LIC-9616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Gurney, RDN
• Victoria Nyce Hahus, LCPC
• Eugenie T Haight, M.D.
• Lara Hall, RN
• Kory Halvorson
• Hamilton Family Chiropractic Clinic, Inc.
• Hamilton Pharmacy Incorporated
• Hamilton Physical Therapy PC
• Hamilton School District #3
• Brett Hamilton, LCPC

• Dental Clinic/Center in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Dental Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.