Individual provider · Type 1 NPI

Clark Hamilton Iii

Pediatric Dentistry · Philadelphia, PA

NPI number 1174264758 Active

Practice location

2010 S Juniper St
Philadelphia, PA 19148-5509

Mailing address

413 Hillside Ave
Jenkintown, PA 19046-2116

Other practice locations

  • 805 Route 38, Cherry Hill, NJ 08002-2850 · (215) 282-8000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS043808 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Dentistry: 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.

13 other providers at this address

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About NPI 1174264758

Clark Hamilton Iii's National Provider Identifier is 1174264758, issued on Apr 6, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 23, 2024.