Provider Demographics
NPI:1730250804
Name:SPORBORG, HAMILTON MCCLAIN (DDS)
Entity type:Individual
Prefix:DR
First Name:HAMILTON
Middle Name:MCCLAIN
Last Name:SPORBORG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1863
Mailing Address - Country:US
Mailing Address - Phone:508-945-0900
Mailing Address - Fax:508-945-4041
Practice Address - Street 1:1118 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02633-1863
Practice Address - Country:US
Practice Address - Phone:508-945-0900
Practice Address - Fax:508-945-4041
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice