Provider Demographics
NPI:1386362101
Name:HAMILTON & COLLETTE PLLC
Entity type:Organization
Organization Name:HAMILTON & COLLETTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-581-4455
Mailing Address - Street 1:3911 W 27TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-2483
Mailing Address - Country:US
Mailing Address - Phone:509-581-4455
Mailing Address - Fax:509-581-6655
Practice Address - Street 1:3911 W 27TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-2483
Practice Address - Country:US
Practice Address - Phone:509-581-4455
Practice Address - Fax:509-581-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty