BLANE REYNOLDS HAMILTON


Address: 1759 Broad Park Cir S, Ste 205, Mansfield, TX 76063-7833
Phone: 8174532800

BLANE REYNOLDS HAMILTON (NPI# 1285921825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285921825
Entity Type Individual
Full Name BLANE REYNOLDS HAMILTON
Credential D.M.D
Practice Address 1759 Broad Park Cir S
Ste 205
Mansfield
TX 76063-7833
Mailing Address 2000 Highway 157 N Ste 120
Mansfield
TX 76063-4860
Practice Telephone 8174532800
Mailing Telephone 8174668554
Enumeration Date 2011-07-04
Last Update Date 2015-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
28654 TX Dental Providers

Office Location

Street Address 1759 BROAD PARK CIR S
STE 205
City MANSFIELD
State TX
Zip Code 76063-7833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356328041 Randolph W Hamilton IIi Dentist 1759 Broad Park Cir S, Mansfield, TX 76063 2005-12-23
1669011847 Arlene Bryant-campbell Registered Nurse 1759 Broad Park Cir S, Mansfield, TX 76063-7833 2020-01-05
1538688890 Elizabeth Renteria Valles Nurse Practitioner 1759 Broad Park Cir S, Mansfield, TX 76063-7833 2017-09-18
1528207024 Steven P Havard, Md, Pa Internal Medicine 1759 Broad Park Cir S, Suite 201, Mansfield, TX 76063-7833 2009-02-07
1669436325 Steven P Havard Internal Medicine 1759 Broad Park Cir S, Suite 201, Mansfield, TX 76063-7833 2006-04-12
1639141765 Seval Gunes Anesthesiology 1759 Broad Park Cir S, Suite 101, Mansfield, TX 76063-7833 2006-02-02
1699746966 Christopher Mark Carney Dentist 1759 Broad Park Cir S, Ste 109, Mansfield, TX 76063-7833 2006-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
Find all providers in zip 76063

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679014567 Corey Menou Dentist 1830 E Broad St Ste 104, Mansfield, TX 76063-9161 2017-03-13
1518353184 Elias E Chahine Dentist 1756 Broad Park Cir S #100, Mansfield, TX 76063 2015-04-10
1508133224 Pediatric Dentristry of Mansfield,pllc Dentist 1830 E Broad St, Ste104, Mansfield, TX 76063-9162 2011-11-23
1396901922 Daniel E Wright Dentist 1830 E. Broad St., Suite 104, Mansfield, TX 76063-2874 2008-08-04
1811106909 Heather Ann Gregg Dentist 245 Sterkle Blvd, Suite 101, Mansfield, OH 44907 2007-05-22
1972649143 Deborah C. Sullivan Dentist 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 2007-01-29
1699853051 Timothy J Iten Dentist 1 Marion Ave Ste 201, Mansfield, OH 44903-7905 2006-11-02
1487740114 Jackson Cockley Dentist 1145 Aspira Ct, Mansfield, OH 44906-4125 2006-10-04
1356328041 Randolph W Hamilton IIi Dentist 1759 Broad Park Cir S, Mansfield, TX 76063 2005-12-23
1669779328 Hyde,bailey,miller-south Partnership Dentist 2300 Matlock Rd, Suite 28, Mansfield, TX 76063-5019 2011-02-16
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 76063

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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