Individual
DR. BUTCH EDWARD HAMLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
622 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-2300
(870) 236-2304
Mailing address
PO BOX 1237, PARAGOULD, AR 72451-1237
(870) 236-2300
(870) 236-2304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3397
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387417
UNITED CONCORDIA
AR
01
—
5X122
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/03/2006
Last updated
07/08/2007
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