Provider Demographics
NPI:1245566728
Name:HAJDUCH-HAMILTON, MEGHAN M (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:M
Last Name:HAJDUCH-HAMILTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6299 NALL AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3551
Mailing Address - Country:US
Mailing Address - Phone:913-384-0044
Mailing Address - Fax:913-432-6635
Practice Address - Street 1:6299 NALL AVE STE 300
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3551
Practice Address - Country:US
Practice Address - Phone:913-384-0044
Practice Address - Fax:913-432-6635
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60568122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1223G001XMedicaid