Individual
WESLEY ALEXANDER HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2422 SPRINGHILL RD, BRYANT, AR 72022-9101
(501) 944-7363
Mailing address
2422 SPRINGHILL RD, BRYANT, AR 72022-9101
(501) 653-2422
(501) 653-2425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3719
AR
1223G0001X
General Practice Dentistry
Primary
3719
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177999608
—
AR
Enumeration date
07/15/2009
Last updated
09/20/2017
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