Provider Demographics
NPI:1922827468
Name:HAMILTON, JENNIFER HOLLIE (RDH)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HOLLIE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:HOLLIE
Other - Last Name:PIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22795 E RIVER CHASE WAY
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8476
Mailing Address - Country:US
Mailing Address - Phone:303-981-9376
Mailing Address - Fax:
Practice Address - Street 1:7190 COLORADO BLVD STE 300
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1808
Practice Address - Country:US
Practice Address - Phone:303-733-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.000906602124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist