Dr. Jack Nelson Hamilton
Periodontist
72880 Fred Waring Dr Ste D16
Palm Desert
, California 92260-9377
Dr. Jack Nelson Hamilton
Periodontist
72880 Fred Waring Dr Ste D16
Palm Desert
, California 92260-9377
(760) 568-0731
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Jack Nelson Hamilton
- 72880 Fred Waring Dr Ste D16
- Palm Desert, CA
- Zip : 92260-9377
- Fax : (760) 568-0731
- Phone : (760) 568-3421
Second Address
- Dr. Jack Nelson Hamilton
- 72880 Fred Waring Dr Ste D16
- Palm Desert, CA
- Zip : 92260-9377
- Fax : (760) 568-0731
- Phone : (760) 568-3421
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 26415 | CA |
National Provider Identifier
| NPI | 1124277405 |
|---|---|
| Provider Name | Dr. Jack Nelson Hamilton |
| First Address | Palm Desert, CA 92260-9377 |
| Second Address | Palm Desert, CA 92260-9377 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2008 |
| Last Update Date | 24/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.