Provider Demographics
NPI:1730353772
Name:HAMILTON, SUNNY LYNNE (DDS)
Entity type:Individual
Prefix:
First Name:SUNNY
Middle Name:LYNNE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:LYNNE
Other - Last Name:PARKHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1705 S 1ST AVE STE P
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6037
Mailing Address - Country:US
Mailing Address - Phone:319-338-7172
Mailing Address - Fax:
Practice Address - Street 1:1705 S 1ST AVE STE P
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6037
Practice Address - Country:US
Practice Address - Phone:319-338-7172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA82871223G0001X
IA08287122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice