Active NPI
Collette and Hamilton DDS PLLC
- Pediatric Dentistry
- Richland, WA
National Provider Identifier
1487949079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00011196
- Legal business name
- COLLETTE AND HAMILTON DDS PLLC
- Practice address
- 2671 Queensgate Dr
Richland, WA 99352-9103 - Phone
- (509) 585-5437
- Fax
- (509) 585-5438
- NPI assigned
- Jun 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Nelson Hamilton, DDS
- Title
- Owner Dentistry for Kids Richland
- Phone
- (509) 585-5437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00011196 | WA | Primary |
Addresses
Primary practice location
2671 Queensgate Dr
Richland, WA 99352-9103
Mailing address
3911 W 27TH Ave
Suite 105
Kennewick, WA 99337-2483
Phone (509) 585-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603-117-339 | Other | WA | SEC OF STATE UBI |
Other names 1
- Dentistry for Kids of Richland
National Provider Directory
National Provider DirectoryLocations
2671 Queensgate Dr
Richland, WA 99352
Phone (509) 585-5437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307923200000",
"number": "1487949079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 W 27TH AVE",
"address_2": "SUITE 105",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372483",
"telephone_number": "509-585-5437",
"fax_number": "509-585-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2671 QUEENSGATE DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529103",
"telephone_number": "509-585-5437",
"fax_number": "509-585-5438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLETTE AND HAMILTON DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "OWNER DENTISTRY FOR KIDS RICHLAND",
"authorized_official_telephone_number": "509-585-5437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00011196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SEC OF STATE UBI",
"identifier": "603-117-339",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentistry for Kids of Richland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.