Active NPIIndividual provider

Clark Hamilton III

Dentist, Pediatric Dentistry in Philadelphia, Pennsylvania

NPI Number1174264758
Practice location
2010 S Juniper St, Philadelphia, PA 19148-5509
Fax
—
Last updated
September 23, 2024

Clark Hamilton is a Dentist, Pediatric Dentistry based in Philadelphia, PA. Clark Hamilton practices in Philadelphia, PA. The NPI Number for Clark Hamilton is 1174264758 and holds a License No. DS043808 (PA). The current practice location address for Clark Hamilton is 2010 S Juniper St, Philadelphia, PA 19148-5509 and can be reached out via phone at 215-334-3490.

Provider Profile Details

NPI Number
1174264758
Provider Name
Clark Hamilton
Provider Entity Type
Individual
Gender
Male
Address
2010 S Juniper St, Philadelphia, PA 19148-5509
Phone Number
215-334-3490
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2022
Last Update Date
September 23, 2024
Certification Date
September 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2010 S Juniper St
Philadelphia, PA 19148-5509
Zip
19148-5509
Phone Number
215-334-3490
Philadelphia, PA 19148Get directions →

Provider Business Mailing Address Details

Address
413 Hillside Ave
Jenkintown, PA 19046-2116
City
Jenkintown
State
PA
Zip
19046-2116
Phone Number
215-806-5282

License Information

License Number (1)
DS043808
License State (1)
PA
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Clark Hamilton III?

The NPI number of Clark Hamilton III is 1174264758. It was assigned on April 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Clark Hamilton III?

Clark Hamilton III is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PA under license number DS043808.

Where does Clark Hamilton III practice?

The practice location is 2010 S Juniper St, Philadelphia, PA 19148-5509. The office can be reached at 215-334-3490 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174264758 directly on the NPPES registry website.

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