MEDICARE: DR. DENNIS D HAMILTON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS021244L	PA

General Provider Information

NPI Number	:	1063451540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS D HAMILTON D.D.S.

Provider Business Mailing Address
First Line	:	539 SCOTT RIDGE RD
Second Line	:
City	:	HARMONY
State	:	PA
Zip	:	16037-8823
Country	:	US
Telephone Number	:	724-368-3369
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 W GRANDVIEW AVE
Second Line	:
City	:	ZELIENOPLE
State	:	PA
Zip	:	16063-1137
Country	:	US
Telephone Number	:	724-452-7960
Fax Number	:	724-452-7429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/08/2007

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