BLANE REYNOLDS HAMILTON D.M.D NPI 1285921825

NPI Information

  • NPI: 1285921825
  • Provider Name: BLANE REYNOLDS HAMILTON, D.M.D
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 1759 BROAD PARK CIR S
    STE 205
    MANSFIELD, TX
    ZIP 76063
  • Phone: (817) 453-2800

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NPI Details

Blane Reynolds Hamilton, D.M.D is a pediatric dentistry dentist in Mansfield, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Blane Reynolds Hamilton, D.M.D NPI is 1285921825. 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:

1759 BROAD PARK CIR S
STE 205
MANSFIELD, TX
ZIP 76063-833
Phone: (817) 453-2800

The enumeration date for this NPI number is 7/4/2011 and was last updated on 2/18/2015.

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
11223P0221XDentistPediatric Dentistry28654TEXASYes

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: 11/21/2025

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