Organization
JENNIFER HAMILTON, DDS, MS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER A HAMILTON DDS, MS (PRESIDENT)
(304) 645-2088
Entity
Organization
Contact information
Practice address
200 E RANDOLPH ST, LEWISBURG, WV 24901-1130
(304) 645-2088
Mailing address
200 E RANDOLPH ST, LEWISBURG, WV 24901-1130
(304) 645-2088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2125
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135641000
—
WV
05
—
221728
—
VA
05
—
3810017608
—
WV
05
—
3810017610
—
WV
Enumeration date
10/29/2008
Last updated
12/17/2013
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