Organization Active NPI

Hamilton Dentistry, PC

  • Dentist
  • Hamilton, TX
National Provider Identifier
1417696808
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAMILTON DENTISTRY, PC
Practice address
121 N Rice St
Hamilton, TX 76531-1857
Phone
(254) 386-8957
Fax
(254) 386-3240
NPI assigned
Jun 2, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
L Marliessa Clark, CPA
Title
Office Manager
Phone
(254) 386-8957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

121 N Rice St
Hamilton, TX 76531-1857

Mailing address

121 N Rice St
Hamilton, TX 76531-1857
Phone (254) 386-8957

Other practice location 1

310 E Main St
Hamilton, TX 76531-1922
Phone (254) 386-8957

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1417696808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N RICE ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311857",
            "telephone_number": "254-386-8957",
            "fax_number": "254-386-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N RICE ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311857",
            "telephone_number": "254-386-8957",
            "fax_number": "254-386-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "TX",
            "postal_code": "765311922",
            "country_code": "US",
            "telephone_number": "254-386-8957",
            "fax_number": "254-386-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMILTON DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "MARLIESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-386-8957",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.