JACKSON TOD HAMILTON JR.
NPI 1760218572
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since September 09, 2024
1001 SHADOW LN, LAS VEGAS, NV 89106(702) 774-2545 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson Tod Hamilton Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON TOD HAMILTON JR. (NPI 1760218572) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1760218572
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON TOD HAMILTON JR.
Location Address1001 SHADOW LNLas Vegas, NV 89106-4124
Mailing Address1001 Shadow LnLas Vegas, NV 89106-4124
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
NPI 1760218572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1001 SHADOW LN, Las Vegas, NV 89106

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
1001 SHADOW LN, MS 7423
LAS VEGAS, NV 89106
Dentist (General Practice)
1001 SHADOW LN
LAS VEGAS, NV 89106
Dentist (General Practice)
1001 SHADOW LN, MS 7413
LAS VEGAS, NV 89106
Dentist (Orthodontics and Dentofacial Orthopedics)
1001 SHADOW LN
LAS VEGAS, NV 89106
Dentist (General Practice)
1001 SHADOW LN, MS 7411
LAS VEGAS, NV 89106
Dentist (Orthodontics and Dentofacial Orthopedics)
1001 SHADOW LN
LAS VEGAS, NV 89106
Dentist (General Practice)
1001 SHADOW LN, MS 7410
LAS VEGAS, NV 89106
Dentist (Pediatric Dentistry)
1001 SHADOW LN, MS 7423
LAS VEGAS, NV 89106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760218572, enumerated as an "individual" on September 09, 2024.

The provider is located at 1001 SHADOW LN LAS VEGAS, NV 89106 and the phone number is (702) 774-2545.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.