Healthcare Provider Details

I. General information

NPI: 1356015325
Provider Name (Legal Business Name): HAMILTON ORTHODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 LEOMINSTER RD
STERLING MA
01564-2148
US

IV. Provider business mailing address

PO BOX 1423
STERLING MA
01564-6423
US

V. Phone/Fax

Practice location:
  • Phone: 978-422-7400
  • Fax:
Mailing address:
  • Phone: 978-422-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLA FRENCH HAMILTON
Title or Position: ORTHODONTIST, OWNER
Credential: DMD, MS
Phone: 860-208-4037