Individual provider Active NPI

John Frederick Hamilton Jr., DDS

  • General Practice Dentistry
  • Eielson AFB, AK
National Provider Identifier
1952369340
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4029 Issued in OK
Practice address
3349 Central Ave
354 Mdos/Sgod Ste 1M07
Eielson AFB, AK 99702-2397
Phone
(907) 377-6582
NPI assigned
May 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4029 OK Primary

Addresses

Primary practice location

3349 Central Ave
354 Mdos/Sgod Ste 1M07
Eielson AFB, AK 99702-2397

Mailing address

2443B Sundog CT
Eielson AFB, AK 99702-3104
Phone (907) 377-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803002304 TX Order and Referring Only - DentistPractitioner - Dentist 3779897863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4029OKMDClinical Social Worker
1221AKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952369340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443B SUNDOG CT",
            "city": "EIELSON AFB",
            "state": "AK",
            "postal_code": "997023104",
            "telephone_number": "907-377-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 CENTRAL AVE",
            "address_2": "354 MDOS/SGOD STE 1M07",
            "city": "EIELSON AFB",
            "state": "AK",
            "postal_code": "997022397",
            "telephone_number": "907-377-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eielson AFB, AK

Sources for this page

Verify at the official NPI Registry.