DR. JACK NELSON HAMILTON DMD MS NPI 1124277405

NPI Information

NPI: 1124277405
Provider Name: DR. JACK NELSON HAMILTON, DMD, MS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
72880 FRED WARING DR STE D16
PALM DESERT, CA
ZIP 92260
Phone: (760) 568-3421
Get Directions

DR. Jack Nelson Hamilton, DMD, MS is a periodontics dentist in Palm Desert, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Jack Nelson Hamilton, DMD, MS NPI is 1124277405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

72880 FRED WARING DR STE D16
PALM DESERT, CA
ZIP 92260-377
Phone: (760) 568-3421
Fax: (760) 568-0731

The enumeration date for this NPI number is 9/11/2008 and was last updated on 11/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	26415	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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