Provider Demographics
NPI:1144601709
Name:HAMILTON, DYLAN S (DMD)
Entity type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:S
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:195 13TH ST NE UNIT 2010
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4820
Mailing Address - Country:US
Mailing Address - Phone:404-414-9411
Mailing Address - Fax:
Practice Address - Street 1:3455 OLD ALABAMA RD
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-5526
Practice Address - Country:US
Practice Address - Phone:770-777-1222
Practice Address - Fax:678-336-1597
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GABEING PROCESSED1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry