| Andrew Hamilton Dds Pllc | |
|
1414 E Centre Ave Portage MI 49002-4406 | |
| (269) 381-7770 | |
| Not Available |
| Full Name | Andrew Hamilton Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1414 E Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Andrew Hamilton (OWNER) |
| Authorized Official Contact | 2693817770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Hamilton Dds Pllc 1414 E Centre Ave Portage MI 49002-4406 Ph: (269) 381-7770 | Andrew Hamilton Dds Pllc 1414 E Centre Ave Portage MI 49002-4406 Ph: (269) 381-7770 |
| NPI Number | 1760123368 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 8628455482 |
|---|---|
| Medicare Enrollment ID | O20220517000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760123368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Andrew B Hamilton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275761017 PECOS PAC ID: 2163720970 Enrollment ID: I20220517000260 |
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