Jerry Willis Hamlin Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011001 Issued in GA

Practice address

First Dental Battalion NDC
Building 13128
Camp Pendleton, CA 92055-5221

Phone

(760) 725-5208

Fax

(760) 725-5779

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831236470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ROCKEY CT",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722527",
            "telephone_number": "850-207-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST DENTAL BATTALION NDC",
            "address_2": "BUILDING 13128",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555221",
            "telephone_number": "760-725-5208",
            "fax_number": "760-725-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JERRY",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racquel Simone Gutierrez, M.D.
• Charles Alexander Hall, IDC
• Francis X Hall
• Elaine Rhine Hamilton, RN, CPNP, MS. MBA
• Terrence R Hamilton, PA-CERTIFIED
• Victoria Harrison, MD
• Patricia Christine Hasen, FNP-BC
• Terence Alon Heath, M.D.
• Haley Marie Heitzman, DO
• Emily Ann Hendrickson

• General Practice Dentistry in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.