Provider Demographics
NPI:1508548702
Name:HAMILTON, TYLER A (DDS)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:A
Last Name:HAMILTON
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 1:7344 MCCUTCHEON RD.
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-899-9755
Mailing Address - Fax:877-840-2558
Practice Address - Street 1:10621 STATE HWY 11
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:GA
Practice Address - Zip Code:30752
Practice Address - Country:US
Practice Address - Phone:706-657-7561
Practice Address - Fax:877-840-2558
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1090791223G0001X
TN125921223G0001X
GADN1236151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice