Hamilton Clark Brewer, DDS
Dentist, General Practice in Bloomington, IN. Individual provider (NPI-1).
NPI number1922012483
StatusActive
Last updated in NPPESJun 19, 2015
Details
- NPI
- 1922012483
- Entity type
- Individual (NPI-1)
- Name
- Mr. Hamilton Clark Brewer
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2006
- Last updated
- Jun 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12009110 | IN | Yes |
Practice location
212 East Winslow RoadBloomington, IN 47401
Phone 812-337-8888 · Fax 812-337-1931
Mailing address
212 East Winslow RoadBloomington, IN 47401
Phone 812-337-8888 · Fax 812-337-1931
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