Individual
DR. STEPHEN D HAMILTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
74 S CENTRAL AVE, FAIRBORN, OH 45324-4717
(937) 879-9628
Mailing address
74 S CENTRAL AVE, FAIRBORN, OH 45324-4717
(937) 879-9628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16064OH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16064OH
STATE DENTAL LICENSE
OH
Enumeration date
02/07/2006
Last updated
07/08/2007
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