| Port City Dental Center | |
|
4622 Oleander Dr Wilmington NC 28403-5149 | |
| (910) 399-1127 | |
| (910) 399-3479 |
| Full Name | Port City Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4622 Oleander Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Tristan William Hamilton (PART OWNER/DDS) |
| Authorized Official Contact | 9103991127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port City Dental Center 4622 Oleander Dr Wilmington NC 28403-5149 Ph: (910) 399-1127 | Port City Dental Center 4622 Oleander Dr Wilmington NC 28403-5149 Ph: (910) 399-1127 |
| NPI Number | 1407150063 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407150063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8843 (North Carolina) | Primary |
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