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HAMILTON COSMETIC AND IMPLANT DENTISTRY PC NPI 1962763011


NPI Information

NPI: 1962763011
Provider Name: HAMILTON COSMETIC AND IMPLANT DENTISTRY, PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2725 HAMILTON MILL RD
SUIT 700
BUFORD, GA
ZIP 30519
Phone: (770) 932-8577
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HAMILTON COSMETIC AND IMPLANT DENTISTRY, PC is a preferred provider organization in Buford, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. HAMILTON COSMETIC AND IMPLANT DENTISTRY, PC NPI is 1962763011. The provider is registered as an organization entity type.

The provider's business location address is:

2725 HAMILTON MILL RD
SUIT 700
BUFORD, GA
ZIP 30519-187
Phone: (770) 932-8577

The provider's authorized official is Bolivar Luperon .
The authorized official title is Owner and has the following contact phone number (404) 903-8684.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 6/5/2012.


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
1305R00000XPreferred Provider OrganizationDN013214GEORGIAYes

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: 5/5/2024

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