Healthcare Provider Details

I. General information

NPI: 1568719698
Provider Name (Legal Business Name): CARLA FRENCH HAMILTON D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2012
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: 860-208-4037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN1856108
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: